Provider Demographics
NPI:1447706304
Name:MARISCAL SOLORIO, ARACELI
Entity type:Individual
Prefix:
First Name:ARACELI
Middle Name:
Last Name:MARISCAL SOLORIO
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 1:348 LEWIS RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95076-5322
Mailing Address - Country:US
Mailing Address - Phone:831-319-6575
Mailing Address - Fax:
Practice Address - Street 1:321 E BEACH ST
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-4752
Practice Address - Country:US
Practice Address - Phone:831-226-3909
Practice Address - Fax:831-319-4468
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker