Provider Demographics
NPI:1013141548
Name:SANCHEZ, JAVIC VICTORIA (LVN)
Entity Type:Individual
Prefix:MS
First Name:JAVIC
Middle Name:VICTORIA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38758 STONE CANYON RD
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-6202
Mailing Address - Country:US
Mailing Address - Phone:951-329-0483
Mailing Address - Fax:
Practice Address - Street 1:38758 STONE CANYON RD
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-6202
Practice Address - Country:US
Practice Address - Phone:951-329-0483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA215837164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse