Provider Demographics
NPI:1205664505
Name:MURILLO, ARLEAN M
Entity type:Individual
Prefix:
First Name:ARLEAN
Middle Name:M
Last Name:MURILLO
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 1:104 TUSCAN RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA TERESA
Mailing Address - State:NM
Mailing Address - Zip Code:88008-9808
Mailing Address - Country:US
Mailing Address - Phone:575-936-0398
Mailing Address - Fax:
Practice Address - Street 1:104 TUSCAN RIDGE CIR
Practice Address - Street 2:
Practice Address - City:SANTA TERESA
Practice Address - State:NM
Practice Address - Zip Code:88008-9808
Practice Address - Country:US
Practice Address - Phone:575-936-0398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)