Provider Demographics
NPI:1811283096
Name:ESPINOZA, XOCHYTL (RPH)
Entity type:Individual
Prefix:
First Name:XOCHYTL
Middle Name:
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 MAIN ST
Mailing Address - Street 2:T-1143
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-3755
Mailing Address - Country:US
Mailing Address - Phone:831-740-4283
Mailing Address - Fax:831-740-4283
Practice Address - Street 1:1415 MAIN ST
Practice Address - Street 2:T-1143
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-3755
Practice Address - Country:US
Practice Address - Phone:831-740-4283
Practice Address - Fax:831-740-4283
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-25
Last Update Date:2011-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61563183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist