Provider Demographics
NPI:1942542089
Name:RABB, THEA JEANNE (ND)
Entity Type:Individual
Prefix:DR
First Name:THEA
Middle Name:JEANNE
Last Name:RABB
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:74040 EL PASEO
Mailing Address - Street 2:SUITE D
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-4109
Mailing Address - Country:US
Mailing Address - Phone:760-568-2598
Mailing Address - Fax:760-568-2915
Practice Address - Street 1:74040 EL PASEO
Practice Address - Street 2:SUITE D
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4109
Practice Address - Country:US
Practice Address - Phone:760-568-2598
Practice Address - Fax:760-568-2915
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA534175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath