Individual
ARIEL E DASALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7985
(949) 722-7038
Mailing address
4230 PARK NEWPORT APT 204, NEWPORT BEACH, CA 92660-6068
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
10/27/2021
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