Watts-Frost, Delviccio Marcel

Watts-Frost, Delviccio Marcel is an sole proprietor health care provider with primary practice located at 233 W Baseline Rd , La Verne CA 91750. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Watts-Frost, Delviccio Marcel can be contacted via phone (909) 593-2581.

Contact Information

Primary practice address
233 W Baseline Rd La Verne CA 91750
Phone: (909) 593-2581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1255938130
LBN Legal business name Watts-Frost, Delviccio Marcel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2020
Last updated Jul 13th, 2023 - about last year

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.

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