| Doctor Name: | CHERYL HODGE |
| NPI Number: | 1548643166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | NP95002597 |
| Business Practice Address: | 233 W Cole Blvd Calexico, CA - 922319722 |
| Business Phone Number: | 7603572020 |
| Business Fax Number: | 7603571056 |
| Mailing Address: | 233 W Cole Blvd, CALEXICO |
| State: | CA |
| Postal Code: | 922319722 |
| Phone Number: | 7603572020 |
| Fax Number: | 7603571056 |
| NPI Enumeration Date: | 07/01/2015 |
| NPI Last Update Date: | 03/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP95002597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |