Provider Demographics
NPI:1881361293
Name:NORMAN, ARTHUR MILLARD JR
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:MILLARD
Last Name:NORMAN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26652 HULL ST
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92585-9340
Mailing Address - Country:US
Mailing Address - Phone:619-254-4877
Mailing Address - Fax:951-301-8480
Practice Address - Street 1:26652 HULL ST
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92585-9340
Practice Address - Country:US
Practice Address - Phone:619-254-4877
Practice Address - Fax:951-301-8480
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide