Individual
THERESA DAGGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
18411 CLARK ST, SUITE 301, TARZANA, CA 91356-3506
(818) 757-8839
(818) 609-1036
Mailing address
18411 CLARK ST, SUITE 301, TARZANA, CA 91356-3506
(818) 757-8839
(818) 609-1036
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95000331
CA
Other
Enumeration date
02/08/2014
Last updated
02/08/2014
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