Provider Demographics
NPI:1609366384
Name:BARRIENTOS, RACHELLE (LVN)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:
Last Name:BARRIENTOS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 MONTEREY ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3411
Mailing Address - Country:US
Mailing Address - Phone:831-424-6655
Mailing Address - Fax:
Practice Address - Street 1:338 MONTEREY ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3411
Practice Address - Country:US
Practice Address - Phone:831-424-6655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2018-05-29
Deactivation Date:2018-05-17
Deactivation Code:
Reactivation Date:2018-05-29
Provider Licenses
StateLicense IDTaxonomies
CA285418164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse