Provider Demographics
NPI:1336335421
Name:ARIOLA, JOCELYN JUMILLA (RN)
Entity type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:JUMILLA
Last Name:ARIOLA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6273 NORTH MALSBURY AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0957
Mailing Address - Country:US
Mailing Address - Phone:559-436-0184
Mailing Address - Fax:
Practice Address - Street 1:6273 N MALSBURY AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-0957
Practice Address - Country:US
Practice Address - Phone:559-436-0184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA07108565343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6149537Medicaid