Provider Demographics
NPI:1487186045
Name:FLOREZ, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:FLOREZ
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 918
Mailing Address - Street 2:
Mailing Address - City:ARMONA
Mailing Address - State:CA
Mailing Address - Zip Code:93202-0918
Mailing Address - Country:US
Mailing Address - Phone:559-362-8961
Mailing Address - Fax:
Practice Address - Street 1:410 E 7TH ST STE 7
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4606
Practice Address - Country:US
Practice Address - Phone:559-584-8100
Practice Address - Fax:559-585-2008
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)