Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner |
NPI | 1053855221 |
---|---|
Provider Name | Ramona Lisa Cadabona |
First Address | Long Beach, CA 90807-4628 |
Second Address | Long Beach, CA 90807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2016 |
Last Update Date | 04/10/2021 |