Provider Demographics
NPI:1689089336
Name:ALDAMA ARANZUBIA, MARICELA
Entity Type:Individual
Prefix:MRS
First Name:MARICELA
Middle Name:
Last Name:ALDAMA ARANZUBIA
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 1:2575 W HORIZON RIDGE PKWY
Mailing Address - Street 2:APT#2312
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5927
Mailing Address - Country:US
Mailing Address - Phone:702-451-7542
Mailing Address - Fax:702-450-4239
Practice Address - Street 1:2575 W HORIZON RIDGE PKWY
Practice Address - Street 2:APT#2312
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5927
Practice Address - Country:US
Practice Address - Phone:702-451-7542
Practice Address - Fax:702-450-4239
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health