Provider Demographics
NPI:1932885431
Name:JAIME, ARIANA MICHELLE
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:MICHELLE
Last Name:JAIME
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 1:5630 S 13TH WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-3508
Mailing Address - Country:US
Mailing Address - Phone:602-710-6392
Mailing Address - Fax:
Practice Address - Street 1:5630 S 13TH WAY
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-3508
Practice Address - Country:US
Practice Address - Phone:602-710-6392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program