Provider Demographics
NPI:1326889551
Name:QUINONEZ-PEREZ, YESENIA KASSANDRA (BA)
Entity type:Individual
Prefix:
First Name:YESENIA
Middle Name:KASSANDRA
Last Name:QUINONEZ-PEREZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 H ST STE 270
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-1289
Mailing Address - Country:US
Mailing Address - Phone:916-874-6994
Mailing Address - Fax:916-874-7106
Practice Address - Street 1:700 H ST STE 270
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-1289
Practice Address - Country:US
Practice Address - Phone:916-874-6994
Practice Address - Fax:916-874-7106
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator