Provider Demographics
NPI:1992165450
Name:DOLPHIN, CINDE JOAN
Entity type:Individual
Prefix:MISS
First Name:CINDE
Middle Name:JOAN
Last Name:DOLPHIN
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 1:2218 21ST STREET
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-6812
Mailing Address - Country:US
Mailing Address - Phone:916-794-1653
Mailing Address - Fax:916-739-1216
Practice Address - Street 1:1822 21ST ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-6812
Practice Address - Country:US
Practice Address - Phone:916-794-1653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment