Jennifer Araiza

Individual provider Active NPI Other Technician · Groveland, CA

NPI 1003527102 · NPPES record last updated Dec 8, 2022

Key facts

NPI
1003527102
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
13078 Fox CT
Groveland, CA 95321-9540
Phone
(855) 832-6727
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X CA Yes

Addresses

Primary practice location

13078 Fox CT
Groveland, CA 95321-9540

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other providers in Groveland, CA

All providers in Groveland, CA · Other Technician in California

Sources for this page

Verify at the official NPI Registry.