Provider Demographics
NPI:1174699706
Name:RABO, DINA CHRISTINE (DC)
Entity type:Individual
Prefix:MRS
First Name:DINA
Middle Name:CHRISTINE
Last Name:RABO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:GRIDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95948-2528
Mailing Address - Country:US
Mailing Address - Phone:530-846-6262
Mailing Address - Fax:530-846-4004
Practice Address - Street 1:490 SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:GRIDLEY
Practice Address - State:CA
Practice Address - Zip Code:95948-2528
Practice Address - Country:US
Practice Address - Phone:530-846-6262
Practice Address - Fax:530-846-4004
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0295320111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0295320Medicare ID - Type Unspecified