Provider Demographics
NPI:1710623442
Name:CARDENAS, CINTHYA NAYELI
Entity Type:Individual
Prefix:
First Name:CINTHYA
Middle Name:NAYELI
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4256 W DIXON WAY
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-6858
Mailing Address - Country:US
Mailing Address - Phone:626-428-2939
Mailing Address - Fax:
Practice Address - Street 1:4256 W DIXON WAY
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-6858
Practice Address - Country:US
Practice Address - Phone:626-428-2939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program