Individual
JOANNA HINOJOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3152 E SAN MANUEL RD, SAN TAN VALLEY, AZ 85143-4537
(520) 668-1357
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 407-5398
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12064
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12064
—
AZ
Enumeration date
07/29/2020
Last updated
07/29/2020
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