Provider Demographics
NPI:1215442843
Name:ARROYO, MARISA YURI
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:YURI
Last Name:ARROYO
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 1:193 WOODBURY CIR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-6313
Mailing Address - Country:US
Mailing Address - Phone:707-685-0796
Mailing Address - Fax:
Practice Address - Street 1:193 WOODBURY CIR
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-6313
Practice Address - Country:US
Practice Address - Phone:707-685-0796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician