Individual
MR. CHADWICK FLINT LEE TABADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
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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