Individual
JOSEFINA L HIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18517
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30617
MEDICARE GROUP PTAN
IA
01
—
I16520
MEDICARE PTAN
IA
Enumeration date
10/24/2006
Last updated
10/02/2014
Update your record
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