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NPI Code Detail

MEDICARE: XIXMENA CAROL CUYUCH

MEDICARE: XIXMENA CAROL CUYUCH
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
1172V00000XCommunity Health Worker
2373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1386229631
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIXMENA CAROL CUYUCH
Provider Business Mailing Address
First Line : 3855 N WEST AVE STE 103-110
Second Line :
City : FRESNO
State : CA
Zip : 93705-2759
Country : US
Telephone Number : 559-334-6433
Fax Number :
Provider Business Practice Location Address
First Line : 3855 N WEST AVE STE 103-110
Second Line :
City : FRESNO
State : CA
Zip : 93705-2759
Country : US
Telephone Number : 559-334-6433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2021
Last Update Date : 04/10/2026

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Directions to “ XIXMENA CAROL CUYUCH ” Practice Location

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