Provider Demographics
NPI:1326858663
Name:ARREOLA-RECENDEZ, ARACELY
Entity type:Individual
Prefix:
First Name:ARACELY
Middle Name:
Last Name:ARREOLA-RECENDEZ
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 1:26762 AVENUE 128
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-9718
Mailing Address - Country:US
Mailing Address - Phone:559-361-1545
Mailing Address - Fax:
Practice Address - Street 1:26762 AVENUE 128
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-9718
Practice Address - Country:US
Practice Address - Phone:559-361-1545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator