Provider Demographics
NPI:1194134759
Name:SANCHEZ GUZMAN, ROCIO MARICELA
Entity type:Individual
Prefix:
First Name:ROCIO
Middle Name:MARICELA
Last Name:SANCHEZ GUZMAN
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 1:91-1101 NAMAHOE ST # 3I
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-3026
Mailing Address - Country:US
Mailing Address - Phone:808-426-3639
Mailing Address - Fax:
Practice Address - Street 1:2430 CAMPUS RD
Practice Address - Street 2:GARTLEY HALL
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2216
Practice Address - Country:US
Practice Address - Phone:808-426-3639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program