Provider Demographics
NPI:1881562429
Name:BERNAL-BARAHONA, HAILY MARITZA
Entity type:Individual
Prefix:
First Name:HAILY
Middle Name:MARITZA
Last Name:BERNAL-BARAHONA
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 1:14327 ARBORGLENN DR
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-6249
Mailing Address - Country:US
Mailing Address - Phone:626-366-8865
Mailing Address - Fax:
Practice Address - Street 1:14327 ARBORGLENN DR
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-6249
Practice Address - Country:US
Practice Address - Phone:626-366-8865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01330188376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide