Provider Demographics
NPI:1972078640
Name:SANCHEZ CORREA, MA REYNA (MA)
Entity type:Individual
Prefix:
First Name:MA REYNA
Middle Name:
Last Name:SANCHEZ CORREA
Suffix:
Gender:F
Credentials:MA
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 759
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96160-0759
Mailing Address - Country:US
Mailing Address - Phone:530-550-6732
Mailing Address - Fax:530-587-7454
Practice Address - Street 1:10833 DONNER PASS RD STE 101
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96160
Practice Address - Country:US
Practice Address - Phone:530-550-6732
Practice Address - Fax:530-587-7454
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker