Provider Demographics
NPI:1780886119
Name:ARNWINE, DORELLE ANN
Entity type:Individual
Prefix:MRS
First Name:DORELLE
Middle Name:ANN
Last Name:ARNWINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43463 30TH ST W
Mailing Address - Street 2:#4
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-1330
Mailing Address - Country:US
Mailing Address - Phone:661-942-5749
Mailing Address - Fax:661-940-3795
Practice Address - Street 1:43463 30TH ST W
Practice Address - Street 2:#4
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-1330
Practice Address - Country:US
Practice Address - Phone:661-942-5749
Practice Address - Fax:661-940-3795
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner