Provider Demographics
NPI:1831470756
Name:SANCHEZ, VANESSA GUADALUPE
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:GUADALUPE
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 1:4389 W 141ST ST
Mailing Address - Street 2:#4
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-7176
Mailing Address - Country:US
Mailing Address - Phone:310-256-1771
Mailing Address - Fax:
Practice Address - Street 1:1303 WEST WALNUT PARK WAY
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220
Practice Address - Country:US
Practice Address - Phone:310-868-5379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator