Individual
RAQUEL TADEO CACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 SEPULVEDA BLVD, TORRANCE, CA 90501-5645
(310) 325-8888
Mailing address
2818 W 156TH ST, GARDENA, CA 90249-4508
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA66036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA66036
—
CA
Enumeration date
11/20/2019
Last updated
11/20/2019
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