Provider Demographics
NPI:1346522851
Name:ABLES, DANA
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:ABLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17216 SLOVER AVE
Mailing Address - Street 2:BLDG L
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92337-7580
Mailing Address - Country:US
Mailing Address - Phone:909-854-3420
Mailing Address - Fax:
Practice Address - Street 1:17216 SLOVER AVE
Practice Address - Street 2:BLDG L
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92337-7580
Practice Address - Country:US
Practice Address - Phone:909-854-3420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program