Provider Demographics
NPI:1386223550
Name:CHIRI ZARZOSA, RAISSA ELIZABETH
Entity Type:Individual
Prefix:
First Name:RAISSA
Middle Name:ELIZABETH
Last Name:CHIRI ZARZOSA
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 1:7000 SUNNE LN APT 600
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3615
Mailing Address - Country:US
Mailing Address - Phone:925-325-2694
Mailing Address - Fax:
Practice Address - Street 1:7000 SUNNE LN APT 600
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3615
Practice Address - Country:US
Practice Address - Phone:925-325-2694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program