Provider Demographics
NPI:1093743171
Name:OKUDA, CINDER MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:CINDER
Middle Name:MARIE
Last Name:OKUDA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19792 ROAD 12
Mailing Address - Street 2:
Mailing Address - City:CHOWCHILLA
Mailing Address - State:CA
Mailing Address - Zip Code:93610-8939
Mailing Address - Country:US
Mailing Address - Phone:559-665-3746
Mailing Address - Fax:559-665-3776
Practice Address - Street 1:19792 ROAD 12
Practice Address - Street 2:
Practice Address - City:CHOWCHILLA
Practice Address - State:CA
Practice Address - Zip Code:93610-8939
Practice Address - Country:US
Practice Address - Phone:559-665-3746
Practice Address - Fax:559-665-3776
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC014178111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor