Individual
DOLEY WEGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12440 FIRESTONE BLVD, NORWALK, CA 90650-4328
(562) 929-6688
Mailing address
5312 MARVIEW DR, LA PALMA, CA 90623-1503
(562) 929-6688
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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