Provider Demographics
NPI:1285045575
Name:CADABONA, SHARON (LAC, CMT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:CADABONA
Suffix:
Gender:F
Credentials:LAC, CMT
Other - Prefix:
Other - First Name:SHERMIE
Other - Middle Name:
Other - Last Name:CADABONA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2390 MISSION ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-1872
Mailing Address - Country:US
Mailing Address - Phone:415-225-3482
Mailing Address - Fax:
Practice Address - Street 1:2390 MISSION ST
Practice Address - Street 2:SUITE 301
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-1872
Practice Address - Country:US
Practice Address - Phone:415-225-3482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-08
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15902171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist