Provider Demographics
NPI:1588785919
Name:RABIDEAUX, LEIGH DEYARMOND (CPNP)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:DEYARMOND
Last Name:RABIDEAUX
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10532 SEMORA ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-7142
Mailing Address - Country:US
Mailing Address - Phone:562-900-2160
Mailing Address - Fax:
Practice Address - Street 1:1310 W STEWART DR STE 508
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3856
Practice Address - Country:US
Practice Address - Phone:714-633-2111
Practice Address - Fax:844-387-7625
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA468068163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics