Provider Demographics
NPI:1922987767
Name:BARRERA, ANADELIA MIREYA
Entity type:Individual
Prefix:
First Name:ANADELIA
Middle Name:MIREYA
Last Name:BARRERA
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 1:10154 PRINCESS JOANN RD
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-1171
Mailing Address - Country:US
Mailing Address - Phone:509-781-2617
Mailing Address - Fax:
Practice Address - Street 1:10154 PRINCESS JOANN RD
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-1171
Practice Address - Country:US
Practice Address - Phone:509-781-2617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20290171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist