MEDICARE: DR. JOSEPHINE HEARNDON ND

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	175F00000X	Naturopath

General Provider Information

NPI Number	:	1811654288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPHINE HEARNDON ND

Provider Business Mailing Address
First Line	:	PO BOX 1051
Second Line	:
City	:	BOULEVARD
State	:	CA
Zip	:	91905-0151
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5305 N FRESNO ST STE 103A
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-6845
Country	:	US
Telephone Number	:	559-470-3435
Fax Number	:

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

Provider Enumeration Date	:	11/19/2021
Last Update Date	:	11/19/2021

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Directions to “ DR. JOSEPHINE HEARNDON ND” Practice Location

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