Provider Demographics
NPI:1871989574
Name:BOJAJ FERNANDEZ, LENA (NMD)
Entity type:Individual
Prefix:DR
First Name:LENA
Middle Name:
Last Name:BOJAJ FERNANDEZ
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13000 N 103RD AVE STE 74
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3056
Mailing Address - Country:US
Mailing Address - Phone:623-266-0059
Mailing Address - Fax:623-266-0429
Practice Address - Street 1:13000 N 103RD AVE STE 74
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351
Practice Address - Country:US
Practice Address - Phone:623-266-0059
Practice Address - Fax:623-266-0429
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-09
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15-1482175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath