Provider Demographics
NPI:1316634330
Name:SANCHEZ, SANDRA CELINA
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:CELINA
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 1:11908 BURBANK BLVD APT 12A
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-1833
Mailing Address - Country:US
Mailing Address - Phone:818-588-2705
Mailing Address - Fax:
Practice Address - Street 1:11908 BURBANK BLVD APT 12A
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-1833
Practice Address - Country:US
Practice Address - Phone:818-588-2705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula