Provider Demographics
NPI:1558114470
Name:ARRIAGA, VICTORIA PAYNE
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:PAYNE
Last Name:ARRIAGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:MARY
Other - Last Name:PAYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:255 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:IVINS
Mailing Address - State:UT
Mailing Address - Zip Code:84738-6790
Mailing Address - Country:US
Mailing Address - Phone:435-222-1236
Mailing Address - Fax:
Practice Address - Street 1:255 E CENTER ST
Practice Address - Street 2:
Practice Address - City:IVINS
Practice Address - State:UT
Practice Address - Zip Code:84738-6790
Practice Address - Country:US
Practice Address - Phone:435-222-1236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program