Provider Demographics
NPI:1386014041
Name:ALVARADO SANCHEZ, SANDY TERESA
Entity Type:Individual
Prefix:MS
First Name:SANDY
Middle Name:TERESA
Last Name:ALVARADO 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 1:605 GAMMA CT APT D
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-5223
Mailing Address - Country:US
Mailing Address - Phone:530-966-7186
Mailing Address - Fax:
Practice Address - Street 1:605 GAMMA CT APT D
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-5223
Practice Address - Country:US
Practice Address - Phone:530-966-7186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator