Provider Demographics
NPI:1770897217
Name:PARAYNO, EMMA CONCEPCION SANTERO (RPH)
Entity type:Individual
Prefix:
First Name:EMMA CONCEPCION
Middle Name:SANTERO
Last Name:PARAYNO
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 1:2285 BENNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-3814
Mailing Address - Country:US
Mailing Address - Phone:707-980-6136
Mailing Address - Fax:
Practice Address - Street 1:135 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:SUISUN CITY
Practice Address - State:CA
Practice Address - Zip Code:94585-2063
Practice Address - Country:US
Practice Address - Phone:707-426-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH59462183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist