Individual
MISS AMMIE NICOLE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44447 N.10TH STREET WEST, LANCASTER, CA 93534
(661) 492-1393
Mailing address
6553 TEASDALE ST, LANCASTER, CA 93536-1268
(661) 492-1393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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