Provider Demographics
NPI:1316541394
Name:LUNA, ARTURO JR
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:
Last Name:LUNA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 9 1/2 ST N
Mailing Address - Street 2:
Mailing Address - City:WAHPETON
Mailing Address - State:ND
Mailing Address - Zip Code:58075-3211
Mailing Address - Country:US
Mailing Address - Phone:701-640-4385
Mailing Address - Fax:
Practice Address - Street 1:1609 9 1/2 ST N
Practice Address - Street 2:
Practice Address - City:WAHPETON
Practice Address - State:ND
Practice Address - Zip Code:58075-3211
Practice Address - Country:US
Practice Address - Phone:701-640-4385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant