SHELLEY DOLKAS LICKL

NEWPORT BEACH, CA
NPI1760416572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA17133)
Enumeration Date2006-07-10
Last Update Date2010-06-18
Business Address
-- SHELLEY DOLKAS LICKL PA
1 HOAG DR ECU
NEWPORT BEACH, CA 92663-4162
Phone number: 949-764-5689
Mailing Address
-- SHELLEY DOLKAS LICKL PA
PO BOX 5445
ORANGE, CA 92863-5445
Phone number: 714-637-4307