Individual
CALAH REA RAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGACNP-BC
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(800) 826-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95065727
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95022839
CA
363LA2200X
Adult Health Nurse Practitioner
95022839
CA
363LG0600X
Gerontology Nurse Practitioner
95022839
CA
Other
Enumeration date
12/05/2022
Last updated
01/06/2023
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