Provider Demographics
NPI:1295971364
Name:SANCHEZ, CONSTANCE J (ND)
Entity type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:J
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:CONNIE
Other - Middle Name:J
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:2136 S 260TH ST APT CC201
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-9088
Mailing Address - Country:US
Mailing Address - Phone:619-973-9596
Mailing Address - Fax:
Practice Address - Street 1:15215 SE 272ND ST STE 105
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98042-9918
Practice Address - Country:US
Practice Address - Phone:425-395-7542
Practice Address - Fax:425-657-9834
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-19
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001396175F00000X
CAND-593175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath