Provider Demographics
NPI:1275317208
Name:CAMARENA SANCHEZ, LIVIER
Entity Type:Individual
Prefix:
First Name:LIVIER
Middle Name:
Last Name:CAMARENA SANCHEZ
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:PO BOX 1220
Mailing Address - Street 2:
Mailing Address - City:KEYES
Mailing Address - State:CA
Mailing Address - Zip Code:95328-1220
Mailing Address - Country:US
Mailing Address - Phone:209-214-3293
Mailing Address - Fax:
Practice Address - Street 1:5655 7TH ST UNIT 1220
Practice Address - Street 2:
Practice Address - City:KEYES
Practice Address - State:CA
Practice Address - Zip Code:95328-1548
Practice Address - Country:US
Practice Address - Phone:209-214-3293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program