Provider Demographics
NPI:1326301151
Name:GONZALEZ DE SANCHEZ, FATIMA ROSIBEL
Entity Type:Individual
Prefix:
First Name:FATIMA
Middle Name:ROSIBEL
Last Name:GONZALEZ DE 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 1:1428 EUCLID ST NW
Mailing Address - Street 2:#305
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-322-4844
Mailing Address - Fax:
Practice Address - Street 1:1428 EUCLID ST NW
Practice Address - Street 2:#305
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-4500
Practice Address - Country:US
Practice Address - Phone:202-322-4844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC2930369374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide