MRS. Dianne Kristine Tablan Banawa
NPI #1003164963 in Twentynine Palms, California
Provider Information
- NPI Number
- 1003164963
- Entity Type
- Individual
- Name
- MRS. Dianne Kristine Tablan Banawa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 27, 2012
- Last Updated
- Aug 27, 2012
Practice Location
- Address
- 72253 TWENTYNINE PALMS HIGHWAY
- City
- Twentynine Palms
- State
- California
- ZIP Code
- 92277
- Phone
- (760) 367-3262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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