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NPI Code Detail

MEDICARE: BRITNEY LADOW

MEDICARE:   BRITNEY  LADOW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1851473540
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITNEY LADOW
Provider Business Mailing Address
First Line : 870 DIAMOND ST APT 202
Second Line :
City : SAN DIEGO
State : CA
Zip : 92109-2522
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3211 JEFFERSON ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-4424
Country : US
Telephone Number : 619-574-0970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 07/08/2007

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Directions to “ BRITNEY LADOW ” Practice Location

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