Provider Demographics
NPI:1083237226
Name:JAMES, ARICA IMAN (MHA)
Entity Type:Individual
Prefix:
First Name:ARICA
Middle Name:IMAN
Last Name:JAMES
Suffix:
Gender:F
Credentials:MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 W HARRISON ST UNIT 432
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92880-2112
Mailing Address - Country:US
Mailing Address - Phone:512-954-7752
Mailing Address - Fax:
Practice Address - Street 1:111 W HARRISON ST UNIT 432
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92880-2112
Practice Address - Country:US
Practice Address - Phone:512-954-7752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty