Individual
STASEY LOUISE RABANAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5240 SEPULVEDA BLVD, CULVER CITY, CA 90230-5214
(310) 391-7266
Mailing address
7940 VALDOSTA AVE, SAN DIEGO, CA 92126-2111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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