Provider Demographics
NPI:1639586118
Name:HERZ ALLAH, RANYA
Entity Type:Individual
Prefix:
First Name:RANYA
Middle Name:
Last Name:HERZ ALLAH
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 1:3300 N PASEO DE LOS RIOS APT 3206
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-6055
Mailing Address - Country:US
Mailing Address - Phone:520-419-7084
Mailing Address - Fax:
Practice Address - Street 1:3300 N PASEO DE LOS RIOS APT 3206
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6055
Practice Address - Country:US
Practice Address - Phone:520-419-7084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program