Provider Demographics
NPI:1659750966
Name:ARENAS SOKOVA, CRISTINA
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:ARENAS SOKOVA
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 1:12602 W WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-5546
Mailing Address - Country:US
Mailing Address - Phone:602-791-0094
Mailing Address - Fax:
Practice Address - Street 1:5330 E WASHINGTON ST
Practice Address - Street 2:BLDG. D SUITE 105
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-2140
Practice Address - Country:US
Practice Address - Phone:602-732-3384
Practice Address - Fax:602-732-3394
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program