Individual
NADALIE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 IOWA AVE, SUITE 3, RIVERSIDE, CA 92507-0509
(909) 266-2792
Mailing address
25554 BRASSIE LN, LA VERNE, CA 91750-5917
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225800000X
MEDICAL
CA
Enumeration date
02/10/2010
Last updated
02/10/2010
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