Rainee Alexis Khabagnote
Student in an Organized Health Care Education/Training Program in Riverside, CA. Individual provider (NPI-1).
NPI number1982147906
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1982147906
- Entity type
- Individual (NPI-1)
- Name
- Rainee Alexis Khabagnote
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2016
- Certification date
- Mar 24, 2024
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
10800 Magnolia Ave # 242Riverside, CA 92505-3043
Phone 951-353-4539
Mailing address
10800 Magnolia Ave # 242Riverside, CA 92505-3043
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