Provider Demographics
NPI:1659661882
Name:CARDOZO, ZINA-ANN
Entity type:Individual
Prefix:DR
First Name:ZINA-ANN
Middle Name:
Last Name:CARDOZO
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 1:2505 E NOVAK WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85042-0002
Mailing Address - Country:US
Mailing Address - Phone:623-239-8269
Mailing Address - Fax:
Practice Address - Street 1:5035 W BASELINE RD
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-7310
Practice Address - Country:US
Practice Address - Phone:602-567-7566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007366183500000X
AZS017798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist