Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 14-1418 | AZ |
NPI | 1083039481 |
---|---|
Provider Name | Dr. Cynthia Hinojosa |
First Address | Avondale, AZ 85392-5472 |
Second Address | Phoenix, AZ 85031-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2014 |
Last Update Date | 24/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083039481 | NA (01) | AZ |