Provider Demographics
NPI:1750675740
Name:VON VAJNA, PATRIZIA GIULIA
Entity Type:Individual
Prefix:
First Name:PATRIZIA
Middle Name:GIULIA
Last Name:VON VAJNA
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 1:265 EASTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7731
Mailing Address - Country:US
Mailing Address - Phone:336-869-5747
Mailing Address - Fax:
Practice Address - Street 1:265 EASTCHESTER DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7731
Practice Address - Country:US
Practice Address - Phone:336-869-5747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13809-040183500000X
NC22836183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist