Provider Demographics
NPI:1194219840
Name:ALBANA, RHOWELA MARIE
Entity Type:Individual
Prefix:
First Name:RHOWELA
Middle Name:MARIE
Last Name:ALBANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MA RHOWELA
Other - Middle Name:ANTIPORTA
Other - Last Name:ALBANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7790 WESTSIDE DR APT 302
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1216
Mailing Address - Country:US
Mailing Address - Phone:619-366-3369
Mailing Address - Fax:
Practice Address - Street 1:7790 WESTSIDE DR
Practice Address - Street 2:APT 302
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108
Practice Address - Country:US
Practice Address - Phone:619-366-3369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-17
Last Update Date:2018-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18334183500000X
CA78434183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist