Provider Demographics
NPI:1811654288
Name:HEARNDON, JOSEPHINE (ND)
Entity type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:
Last Name:HEARNDON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1051
Mailing Address - Street 2:
Mailing Address - City:BOULEVARD
Mailing Address - State:CA
Mailing Address - Zip Code:91905-0151
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5305 N FRESNO ST STE 103A
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6845
Practice Address - Country:US
Practice Address - Phone:559-470-3435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath