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NPI Code Detail

MEDICARE: CYNTHIA URRUTIA

MEDICARE: CYNTHIA URRUTIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1194025304
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA URRUTIA
Provider Business Mailing Address
First Line : 1119 W 7TH ST
Second Line :
City : SAN JACINTO
State : CA
Zip : 92582-3856
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1119 W 7TH ST
Second Line :
City : SAN JACINTO
State : CA
Zip : 92582-3856
Country : US
Telephone Number : 999-999-9999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2010
Last Update Date : 07/08/2014

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Directions to “ CYNTHIA URRUTIA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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