Provider Demographics
NPI:1821879354
Name:SANCHEZ, JASMINE ISABELLA
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:ISABELLA
Last Name: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 1:56 PLEASANT ACRES DR
Mailing Address - Street 2:
Mailing Address - City:THURMONT
Mailing Address - State:MD
Mailing Address - Zip Code:21788-1731
Mailing Address - Country:US
Mailing Address - Phone:301-524-1243
Mailing Address - Fax:
Practice Address - Street 1:56 PLEASANT ACRES DR
Practice Address - Street 2:
Practice Address - City:THURMONT
Practice Address - State:MD
Practice Address - Zip Code:21788-1731
Practice Address - Country:US
Practice Address - Phone:301-524-1243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician