Provider Demographics
NPI:1851678098
Name:ARAMBULA, GUILLERMINA (BSW)
Entity Type:Individual
Prefix:MISS
First Name:GUILLERMINA
Middle Name:
Last Name:ARAMBULA
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4955 S DURANGO DR STE 207
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-0156
Mailing Address - Country:US
Mailing Address - Phone:702-650-6508
Mailing Address - Fax:702-893-9655
Practice Address - Street 1:4955 S DURANGO DR STE 207
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-0156
Practice Address - Country:US
Practice Address - Phone:702-650-6508
Practice Address - Fax:702-893-9655
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation