Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | NONE |
NPI | 1306816905 |
---|---|
Provider Name | Deborah R Rada |
First Address | Redlands, CA 92374-4911 |
Second Address | Fontana, CA 92335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 08/07/2007 |