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NPI Code Detail

MEDICARE: DR. THEA JEANNE RABB N.D.

MEDICARE: DR. THEA JEANNE RABB N.D.
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
1175F00000XNaturopath534CA

General Provider Information

NPI Number : 1942542089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THEA JEANNE RABB N.D.
Provider Business Mailing Address
First Line : 74040 EL PASEO
Second Line : SUITE D
City : PALM DESERT
State : CA
Zip : 92260-4109
Country : US
Telephone Number : 760-568-2598
Fax Number : 760-568-2915
Provider Business Practice Location Address
First Line : 74040 EL PASEO
Second Line : SUITE D
City : PALM DESERT
State : CA
Zip : 92260-4109
Country : US
Telephone Number : 760-568-2598
Fax Number : 760-568-2915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2013
Last Update Date : 03/26/2013

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