Provider Demographics
NPI:1740926369
Name:HINKIS, SABRINA (MASTERS)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:HINKIS
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21947 YELLOWSTONE LN
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-2326
Mailing Address - Country:US
Mailing Address - Phone:949-878-0242
Mailing Address - Fax:
Practice Address - Street 1:21947 YELLOWSTONE LN
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-2326
Practice Address - Country:US
Practice Address - Phone:949-878-0242
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
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist