Healthcare Provider Details

I. General information

NPI: 1780592998
Provider Name (Legal Business Name): NADERHIA PRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10695 PLAINFIELD ST
ADELANTO CA
92301-4180
US

IV. Provider business mailing address

10695 PLAINFIELD ST
ADELANTO CA
92301-4180
US

V. Phone/Fax

Practice location:
  • Phone: 760-267-2209
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number97848
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: