Provider Demographics
NPI:1962866608
Name:PAMPERED HANDS AND FEET
Entity Type:Organization
Organization Name:PAMPERED HANDS AND FEET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:L
Authorized Official - Last Name:CINARDO
Authorized Official - Suffix:
Authorized Official - Credentials:MANICURIST
Authorized Official - Phone:707-502-4684
Mailing Address - Street 1:2245 STANFORD DR
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-7053
Mailing Address - Country:US
Mailing Address - Phone:707-502-4684
Mailing Address - Fax:707-832-4171
Practice Address - Street 1:2245 STANFORD DR
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-7053
Practice Address - Country:US
Practice Address - Phone:707-502-4684
Practice Address - Fax:707-832-4171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAM317572174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========OtherSOCIAL SECURITY NUMBER