Provider Demographics
NPI:1003573569
Name:ARNOLD, ZENA LATRICE
Entity Type:Individual
Prefix:
First Name:ZENA
Middle Name:LATRICE
Last Name:ARNOLD
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 1:3745 STRONG ST.
Mailing Address - Street 2:#211
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501
Mailing Address - Country:US
Mailing Address - Phone:951-470-8592
Mailing Address - Fax:951-742-7111
Practice Address - Street 1:3745 STRONG ST.
Practice Address - Street 2:#211
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501
Practice Address - Country:US
Practice Address - Phone:951-470-8592
Practice Address - Fax:951-742-7111
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator