Individual
MS. ANDREA DESIREE DAGOSTARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
10716 LA TUNA CANYON RD, SUN VALLEY, CA 91352-2130
(818) 252-5863
Mailing address
10716 LA TUNA CANYON RD, SUN VALLEY, CA 91352-2130
(818) 252-5863
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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