Provider Demographics
NPI:1629349352
Name:SAENZ, ANNA MARISA (MA00018224)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:MARISA
Last Name:SAENZ
Suffix:
Gender:F
Credentials:MA00018224
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 E LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-2347
Mailing Address - Country:US
Mailing Address - Phone:509-839-0414
Mailing Address - Fax:509-839-8847
Practice Address - Street 1:841 E LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-2347
Practice Address - Country:US
Practice Address - Phone:509-839-0414
Practice Address - Fax:509-839-8847
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor