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NPI Code Detail

MEDICARE: PAULA ARAIZA

MEDICARE: PAULA ARAIZA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1386289759
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA ARAIZA
Provider Business Mailing Address
First Line : 22769 PALM AVE UNIT E
Second Line :
City : GRAND TERRACE
State : CA
Zip : 92313-5249
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22769 PALM AVE UNIT E
Second Line :
City : GRAND TERRACE
State : CA
Zip : 92313-5249
Country : US
Telephone Number : 909-609-4462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2019
Last Update Date : 11/09/2019

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Directions to “ PAULA ARAIZA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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