Provider Demographics
NPI:1215753181
Name:HINOJOSA, CELENA MARIE (CNA)
Entity type:Individual
Prefix:MS
First Name:CELENA
Middle Name:MARIE
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 BURROUGHS AVE
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2709
Mailing Address - Country:US
Mailing Address - Phone:810-858-5217
Mailing Address - Fax:
Practice Address - Street 1:308 BURROUGHS AVE
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-2709
Practice Address - Country:US
Practice Address - Phone:810-858-5217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI230011174650705376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty