Provider Demographics
NPI:1508542531
Name:ORNELAS, RITA DABDOUB (NBC-HWC)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:DABDOUB
Last Name:ORNELAS
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17928 S GOLDEN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:SAHUARITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85629-7982
Mailing Address - Country:US
Mailing Address - Phone:520-440-1975
Mailing Address - Fax:
Practice Address - Street 1:17928 S GOLDEN VALLEY DR
Practice Address - Street 2:
Practice Address - City:SAHUARITA
Practice Address - State:AZ
Practice Address - Zip Code:85629-7982
Practice Address - Country:US
Practice Address - Phone:520-440-1975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach