Individual
DAJZIA LARGAESPADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
9990 COUNTY FARM RD STE 5, RIVERSIDE, CA 92503-3542
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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