Provider Demographics
NPI:1194414060
Name:ARLANTE, ROI BRENN VALDERAMA
Entity type:Individual
Prefix:
First Name:ROI BRENN
Middle Name:VALDERAMA
Last Name:ARLANTE
Suffix:
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 1:28741 SHADOW VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91390-1262
Mailing Address - Country:US
Mailing Address - Phone:818-442-7922
Mailing Address - Fax:
Practice Address - Street 1:3100 MILDWOOD CT
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-4740
Practice Address - Country:US
Practice Address - Phone:661-579-6898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95224441163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse