Individual
MR. CHADWICK FLINT LEE TABADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
4065 KNOBBY CREST WAY, ROSEVILLE, CA 95747-4543
(510) 282-7076
Mailing address
4065 KNOBBY CREST WAY, ROSEVILLE, CA 95747-4543
(510) 282-7076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95387982
CA
163W00000X
Registered Nurse
RN60363350
WA
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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