Provider Demographics
NPI:1184300014
Name:SANCHEZ, ROSA ESMERALDA (PA)
Entity type:Individual
Prefix:MISS
First Name:ROSA
Middle Name:ESMERALDA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2701 OLD EUREKA WAY STE 1E
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001
Mailing Address - Country:US
Mailing Address - Phone:530-232-3000
Mailing Address - Fax:530-242-8545
Practice Address - Street 1:2701 OLD EUREKA WAY STE 1E
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001
Practice Address - Country:US
Practice Address - Phone:530-232-3000
Practice Address - Fax:530-242-8545
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR1754363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant