Individual
ASHLEY DARTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12968 FREDERICK ST STE A, MORENO VALLEY, CA 92553-5229
(951) 208-0150
Mailing address
8341 GARFIELD ST, RIVERSIDE, CA 92504-2902
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
03/04/2020
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