| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ARICHENA MANMATHARAYAN | 1124601778 | 2021-05-02 |
Arichena Manmatharayan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1124601778. Registration indicates Arichena Manmatharayan is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Arichena Manmatharayan |
| Practice Office Address | 4201 SAINT ANTOINE ST DETROIT, MI US |
| Practice Office Telephone | 2672061153 |
| Mailing Address | 4201 SAINT ANTOINE ST DETROIT, MI 482012153 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |