Provider Demographics
NPI:1164183943
Name:ARAGON, ROWENA (CPHT)
Entity Type:Individual
Prefix:
First Name:ROWENA
Middle Name:
Last Name:ARAGON
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:ROWENA
Other - Middle Name:CABANSAG
Other - Last Name:RAMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11430 DOVERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505
Mailing Address - Country:US
Mailing Address - Phone:951-312-0544
Mailing Address - Fax:
Practice Address - Street 1:4920 LA SIERRA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-2612
Practice Address - Country:US
Practice Address - Phone:951-688-4196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-04
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA168963183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician