Provider Demographics
NPI:1134308786
Name:SANCHEZ, TRINIDAD MESTAZ
Entity type:Individual
Prefix:MS
First Name:TRINIDAD
Middle Name:MESTAZ
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:PO BOX 1559
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1559
Mailing Address - Country:US
Mailing Address - Phone:661-635-3050
Mailing Address - Fax:661-869-1503
Practice Address - Street 1:828 HIGH ST
Practice Address - Street 2:SUITE C
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-2960
Practice Address - Country:US
Practice Address - Phone:661-721-5830
Practice Address - Fax:661-721-5850
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator