Provider Demographics
NPI:1053920603
Name:WORDS, ARIEL (RMA)
Entity type:Individual
Prefix:MISS
First Name:ARIEL
Middle Name:
Last Name:WORDS
Suffix:
Gender:F
Credentials:RMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 WOODFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46615-3803
Mailing Address - Country:US
Mailing Address - Phone:574-406-3716
Mailing Address - Fax:
Practice Address - Street 1:1233 WOODFIELD AVE
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46615-3803
Practice Address - Country:US
Practice Address - Phone:574-406-3716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physicianGroup - Single Specialty