Provider Demographics
NPI:1669682126
Name:SANCHEZ, MARTHA
Entity type:Individual
Prefix:MS
First Name:MARTHA
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 1:117 N R ST
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-4465
Mailing Address - Country:US
Mailing Address - Phone:559-662-0527
Mailing Address - Fax:559-661-5159
Practice Address - Street 1:117 N R ST
Practice Address - Street 2:STE. #101
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-4465
Practice Address - Country:US
Practice Address - Phone:559-662-0527
Practice Address - Fax:559-661-5159
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator