Individual
DOLLY Q PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 W AVENUE J STE C, LANCASTER, CA 93534-3443
(661) 949-0131
Mailing address
921 W AVENUE J STE C, LANCASTER, CA 93534-3443
(661) 949-0131
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2020
Last updated
01/18/2022
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