Provider Demographics
NPI:1477334837
Name:RANGEL, SARITA (CNA, HOME HEALTH AID)
Entity Type:Individual
Prefix:
First Name:SARITA
Middle Name:
Last Name:RANGEL
Suffix:
Gender:F
Credentials:CNA, HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5622 N TAMERA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-1529
Mailing Address - Country:US
Mailing Address - Phone:559-286-7188
Mailing Address - Fax:
Practice Address - Street 1:5622 N TAMERA AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-1529
Practice Address - Country:US
Practice Address - Phone:559-286-7188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor