Individual
TEDDIE MONT NABONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 PACIFIC AVE, LONG BEACH, CA 90813-3026
(562) 437-0831
(562) 628-9393
Mailing address
1250 PACIFIC AVE, LONG BEACH, CA 90813-3026
(562) 437-0831
(562) 628-9393
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT18330
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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