Banawa, Dianne Kristine Tablan

Banawa, Dianne Kristine Tablan is an individual health care provider with primary practice located at 72253 Twentynine Palms Highway , Twentynine Palms CA 92277. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Banawa, Dianne Kristine Tablan can be contacted via phone (760) 367-3262.

Contact Information

Primary practice address
72253 Twentynine Palms Highway Twentynine Palms CA 92277
Phone: (760) 367-3262
Fax: (760) 367-0079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 66722 California

Profile Details

NPI number 1003164963
LBN Legal business name Banawa, Dianne Kristine Tablan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2012
Last updated Aug 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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