Provider Demographics
NPI:1164255048
Name:JARA, ARELI FATIMA
Entity type:Individual
Prefix:
First Name:ARELI
Middle Name:FATIMA
Last Name:JARA
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 1:60 CLIFTON DR
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-9742
Mailing Address - Country:US
Mailing Address - Phone:831-227-9032
Mailing Address - Fax:
Practice Address - Street 1:741 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2039
Practice Address - Country:US
Practice Address - Phone:831-227-9032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider