Provider Demographics
NPI:1033643291
Name:SANCHEZ, CARMEN TERESA (AA)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:TERESA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8525 PARAMOUNT BLVD APT 222
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2112
Mailing Address - Country:US
Mailing Address - Phone:562-302-9566
Mailing Address - Fax:
Practice Address - Street 1:8525 PARAMOUNT BLVD #222
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240
Practice Address - Country:US
Practice Address - Phone:562-302-9566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program