Provider Demographics
NPI:1720963606
Name:HINOJOSA, CHRISTIAN AZUCENA
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:AZUCENA
Last Name:HINOJOSA
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 1:111 99TH ST S TRLR 10
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-6530
Mailing Address - Country:US
Mailing Address - Phone:253-409-6487
Mailing Address - Fax:
Practice Address - Street 1:111 99TH ST S TRLR 10
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-6530
Practice Address - Country:US
Practice Address - Phone:253-409-6487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA12767171R00000X
DC025073171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter