Provider Demographics
NPI:1265837587
Name:SABALA, DEBBIE CHAVEZ
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:CHAVEZ
Last Name:SABALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 SHERINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1361
Mailing Address - Country:US
Mailing Address - Phone:916-730-8134
Mailing Address - Fax:
Practice Address - Street 1:2120 SHERINGTON WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-1361
Practice Address - Country:US
Practice Address - Phone:916-730-8134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-29
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA664464163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse