MEDICARE: CYNTHIA ANN TRAINER

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1801238373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA ANN TRAINER

Provider Business Mailing Address
First Line	:	203 DREAMLAND DR
Second Line	:	SAME
City	:	CANYON LAKE
State	:	TX
Zip	:	78133-3862
Country	:	US
Telephone Number	:	210-854-5464
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 DREAMLAND DR
Second Line	:	SAME
City	:	CANYON LAKE
State	:	TX
Zip	:	78133-3862
Country	:	US
Telephone Number	:	210-854-5464
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2013
Last Update Date	:	07/24/2013

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Directions to “ CYNTHIA ANN TRAINER ” Practice Location

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