Provider Demographics
NPI:1205430154
Name:RABB, MONICA MARIE MOLANO (LVN)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:MARIE MOLANO
Last Name:RABB
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31890 COPPER TER
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-7236
Mailing Address - Country:US
Mailing Address - Phone:951-722-0895
Mailing Address - Fax:
Practice Address - Street 1:31890 COPPER TER
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-7236
Practice Address - Country:US
Practice Address - Phone:951-722-0895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA289588164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse