Provider Demographics
NPI:1699916874
Name:MARTORANA, DEANA LUE
Entity type:Individual
Prefix:MS
First Name:DEANA
Middle Name:LUE
Last Name:MARTORANA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DEANA
Other - Middle Name:LUE
Other - Last Name:REINARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:101 TOWN CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-5802
Mailing Address - Country:US
Mailing Address - Phone:619-562-3993
Mailing Address - Fax:619-562-8206
Practice Address - Street 1:101 TOWN CENTER PKWY
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-5802
Practice Address - Country:US
Practice Address - Phone:619-562-3993
Practice Address - Fax:619-562-8206
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH36839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist