Ice, Delores

Ice, Delores is an sole proprietor health care provider with primary practice located at 4023 Marine Ave , Lawndale CA 90260-1840. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ice, Delores can be contacted via phone (310) 675-9555.

Contact Information

Primary practice address
4023 Marine Ave Lawndale CA 90260-1840
Phone: (310) 675-9555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1053508739
LBN Legal business name Ice, Delores
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2007
Last updated Sep 26th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers