Provider Demographics
NPI:1255795449
Name:PULIDO, ARELY (CPHW)
Entity type:Individual
Prefix:
First Name:ARELY
Middle Name:
Last Name:PULIDO
Suffix:
Gender:F
Credentials:CPHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 CENTERPOINTE PKWY STE 302
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-1337
Mailing Address - Country:US
Mailing Address - Phone:805-346-8453
Mailing Address - Fax:805-346-8288
Practice Address - Street 1:2125 CENTERPOINTE PKWY STE 302
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-1337
Practice Address - Country:US
Practice Address - Phone:805-346-8453
Practice Address - Fax:805-346-8288
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker