Provider Demographics
NPI:1841516416
Name:REDINGER, MARIA
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:REDINGER
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 1:430 E KINGSLEY AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-4722
Mailing Address - Country:US
Mailing Address - Phone:951-907-8964
Mailing Address - Fax:
Practice Address - Street 1:430 E KINGSLEY AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-4722
Practice Address - Country:US
Practice Address - Phone:951-907-8964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program