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Individual

ANGELA NICOLE DIPASQUALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
815 SEAGULL LN # DS101, NEWPORT BEACH, CA 92663-6075
(949) 887-0079
Mailing address
815 SEAGULL LN # DS101, NEWPORT BEACH, CA 92663-6075
(949) 887-0079

Taxonomy

Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95864612G
CA
Enumeration date
01/11/2019
Last updated
01/11/2019
About Stedi
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