Cynthia Josephine Favela

NPI 1154501310 - Specialist - 174400000X

NPI Details
NPI 1154501310
Gender Female
Enumeration Date 11/05/2007
Last Updated 11/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1601 YOSEMITE BLVD
SUITE A
MODESTO CA, 95354-2800, US
Phone (209) 341-1824
Fax (209) 523-1296
Business Location
6317 HEMET AVE
STOCKTON CA, 95207-3041, US
Phone (209) 477-9848
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Cynthia Josephine Favela NPI is 1154501310, taxonomy code is 174400000X Cynthia Josephine Favela physically located at 1601 Yosemite Blvd, Modesto CA, 95354-2800. NPI Number Cynthia Josephine Favela has the Individual type.

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1154501310 NPI number is provided on an as is basis without warranty of any kind. 1154501310 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia Josephine Favela are for informational purposes only.