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RADO HINES

>> Rehabilitation Practitioner >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1336472604

Individual Registrant:
 RADO  HINES 
Gender: M
Sole Proprietor

Location and contact information for practice:
343 N AVENUE 52 APT 13  HIGHLAND PARK, CA 90042-3850 US
Tel: 626-967-1667  Fax: --

Contact information for business:
1126 N GRAND AVE  COVINA, CA 91724-1551 US
Tel: 626-697-1667  Fax: --

Registration Information:
NPI: 1336472604
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225400000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Rehabilitation Practitioner

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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