Individual
MICHELLE DABADIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9022 BURTON WAY, LOS ANGELES, CA 90211
(310) 288-0788
Mailing address
9022 BURTON WAY, LOS ANGELES, CA 90211
(310) 288-0788
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80-0760072
UNITED HEALTHCARE
CA
Enumeration date
09/19/2014
Last updated
09/19/2014
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