Provider Demographics
NPI:1275094237
Name:ABU SAMRAH SALAYMEH, RANIA
Entity Type:Individual
Prefix:
First Name:RANIA
Middle Name:
Last Name:ABU SAMRAH SALAYMEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7088 GASKIN PL
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-5622
Mailing Address - Country:US
Mailing Address - Phone:951-455-8708
Mailing Address - Fax:
Practice Address - Street 1:8207 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-0429
Practice Address - Country:US
Practice Address - Phone:951-240-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-30
Last Update Date:2019-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist