Provider Demographics
NPI:1588770192
Name:SAUCEDO-ARREOLA, MARIA L (PA)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:L
Last Name:SAUCEDO-ARREOLA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:390 7TH ST
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-3820
Practice Address - Country:US
Practice Address - Phone:831-634-1880
Practice Address - Fax:831-634-1395
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2008-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA16327363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant