Individual provider · NPI-1

Rahwa T. Abraha

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number1407031784
StatusActive
Last updated in NPPESMar 3, 2011

Details

NPI
1407031784
Entity type
Individual (NPI-1)
Name
Rahwa T. Abraha
Sex
Female
Sole proprietor
No
Enumeration date
Jan 4, 2008
Last updated
Mar 3, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramIRA8004CAYes
225400000X Rehabilitation Practitioner––

Practice location

5607 S Manhattan Pl
Los Angeles, CA 90062-2624

Phone 310-895-5149

Mailing address

5607 S Manhattan Pl
Los Angeles, CA 90062-2624

Phone 310-895-5149

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