Provider Demographics
NPI:1154660660
Name:LARREA DE ARELLANO, MONICA (CPM)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:LARREA DE ARELLANO
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 265
Mailing Address - Street 2:
Mailing Address - City:RIBERA
Mailing Address - State:NM
Mailing Address - Zip Code:87560-0265
Mailing Address - Country:US
Mailing Address - Phone:505-204-1359
Mailing Address - Fax:
Practice Address - Street 1:25 BIRDHOUSE ROAD
Practice Address - Street 2:
Practice Address - City:RIBERA
Practice Address - State:NM
Practice Address - Zip Code:87560
Practice Address - Country:US
Practice Address - Phone:505-204-1359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife