Luis Arevalo Arriaga
Rehabilitation Practitioner in Lancaster, CA. Individual provider (NPI-1).
NPI number1275945941
StatusActive
Last updated in NPPESMay 28, 2014
Details
- NPI
- 1275945941
- Entity type
- Individual (NPI-1)
- Name
- Luis Arevalo Arriaga
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 28, 2014
- Last updated
- May 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | D5021650 | CA | Yes |
Practice location
506 W Jackman StLancaster, CA 93534-2531
Phone 661-726-2850
Mailing address
506 W Jackman StLancaster, CA 93534-2531
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