Reznikov, Diana Pavlovna

Reznikov, Diana Pavlovna is an individual health care provider with primary practice located at 1165 Montgomery Dr , Santa Rosa CA 95405-4801. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Reznikov, Diana Pavlovna can be contacted via phone (707) 525-5380.

Contact Information

Primary practice address
1165 Montgomery Dr Santa Rosa CA 95405-4801
Phone: (707) 525-5380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 73119 California

Profile Details

NPI number 1275902256
LBN Legal business name Reznikov, Diana Pavlovna
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2015
Last updated Sep 18th, 2015 - about 11 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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