Provider Demographics
NPI:1972032233
Name:SANCHEZ, MARILAN
Entity Type:Individual
Prefix:
First Name:MARILAN
Middle Name:
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 1:5210 EMELITA ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89122-7643
Mailing Address - Country:US
Mailing Address - Phone:702-984-9289
Mailing Address - Fax:
Practice Address - Street 1:5210 EMELITA ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89122
Practice Address - Country:US
Practice Address - Phone:702-984-9289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant