Provider Demographics
NPI:1740350107
Name:ARCURI, RAIMONDA NUNZIATA (DC)
Entity type:Individual
Prefix:DR
First Name:RAIMONDA
Middle Name:NUNZIATA
Last Name:ARCURI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 W AVENUE J
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2830
Mailing Address - Country:US
Mailing Address - Phone:661-942-3346
Mailing Address - Fax:
Practice Address - Street 1:1629 W AVENUE J
Practice Address - Street 2:SUITE 101
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2830
Practice Address - Country:US
Practice Address - Phone:661-942-3346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23196111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC23196Medicare UPIN