Provider Demographics
NPI:1659704070
Name:SANNO, YAA DIFIE (RPH)
Entity Type:Individual
Prefix:
First Name:YAA
Middle Name:DIFIE
Last Name:SANNO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5926 E STONEYGROVE LOOP
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2192
Mailing Address - Country:US
Mailing Address - Phone:832-723-3203
Mailing Address - Fax:
Practice Address - Street 1:5926 E STONEYGROVE LOOP
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-2192
Practice Address - Country:US
Practice Address - Phone:832-723-3203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist