Provider Demographics
NPI:1801489703
Name:ARECHIGA, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ARECHIGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:ARECHIGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAURA RAMIREZ
Mailing Address - Street 1:4775 S DURANGO DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8150
Mailing Address - Country:US
Mailing Address - Phone:702-802-3585
Mailing Address - Fax:
Practice Address - Street 1:4775 S DURANGO DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8150
Practice Address - Country:US
Practice Address - Phone:702-802-3585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant