Provider Demographics
NPI:1154037331
Name:SANCHEZ, MELISSA LEE
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:LEE
Last Name:SANCHEZ
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:PO BOX 1174
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85311-1174
Mailing Address - Country:US
Mailing Address - Phone:623-208-0753
Mailing Address - Fax:623-321-7472
Practice Address - Street 1:3101 N CENTRAL AVE STE 183
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-3616
Practice Address - Country:US
Practice Address - Phone:623-451-1970
Practice Address - Fax:623-321-1970
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health