Provider Demographics
NPI:1881424893
Name:SANCHEZ, MELYNDA D
Entity type:Individual
Prefix:
First Name:MELYNDA
Middle Name:D
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 1:395 PINON RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SANDIA PARK
Mailing Address - State:NM
Mailing Address - Zip Code:87047-9318
Mailing Address - Country:US
Mailing Address - Phone:505-264-9564
Mailing Address - Fax:
Practice Address - Street 1:7 MUNICIPAL WAY
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:NM
Practice Address - Zip Code:87015-7210
Practice Address - Country:US
Practice Address - Phone:505-281-3406
Practice Address - Fax:505-224-8737
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker