Individual
CYNTHIA JOSEPHINE FAVELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 YOSEMITE BLVD, SUITE A, MODESTO, CA 95354-2800
(209) 341-1824
(209) 523-1296
Mailing address
6317 HEMET AVE, STOCKTON, CA 95207-3041
(209) 477-9848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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