Individual
AZALEYA R SCIPIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6711 ARLINGTON AVE, SUITE C, RIVERSIDE, CA 92504
(951) 567-1469
Mailing address
6711 ARLINGTON AVE STE C, RIVERSIDE, CA 92504-1966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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