Individual
EMMALINE DOHRN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1358 N NORTHSTAR AVE, COLTON, CA 92324-6633
(928) 846-0556
Mailing address
14050 CHERRY AVE STE R122, FONTANA, CA 92337-0766
(909) 355-8806
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
12/12/2019
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