Provider Demographics
NPI:1730781774
Name:HOBBY, RABIAA OULADHAMRA
Entity type:Individual
Prefix:
First Name:RABIAA
Middle Name:OULADHAMRA
Last Name:HOBBY
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 1:3029 VIA VENEZIA
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3807
Mailing Address - Country:US
Mailing Address - Phone:770-903-5016
Mailing Address - Fax:
Practice Address - Street 1:4505 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1501
Practice Address - Country:US
Practice Address - Phone:702-258-5075
Practice Address - Fax:702-258-5674
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist