Provider Demographics
NPI:1033507850
Name:SANCHEZ, MARTINA
Entity Type:Individual
Prefix:
First Name:MARTINA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARTINA
Other - Middle Name:
Other - Last Name:SANCHEZ JIMENEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5326 ROCK CREEK CHURCH RD NE
Mailing Address - Street 2:APT324
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-3427
Mailing Address - Country:US
Mailing Address - Phone:202-492-5679
Mailing Address - Fax:
Practice Address - Street 1:5326 ROCK CREEK CHURCH RD NE
Practice Address - Street 2:APT324
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3427
Practice Address - Country:US
Practice Address - Phone:202-492-5679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-31
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker