Provider Demographics
NPI:1588969927
Name:SANCHEZ, JAYMESON LOKELA (MT)
Entity type:Individual
Prefix:
First Name:JAYMESON
Middle Name:LOKELA
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 1/2 SACRAMENTO ST
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-5917
Mailing Address - Country:US
Mailing Address - Phone:510-379-8421
Mailing Address - Fax:
Practice Address - Street 1:508 1/2 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-5917
Practice Address - Country:US
Practice Address - Phone:510-379-8421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-16
Last Update Date:2011-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No174H00000XOther Service ProvidersHealth Educator