Provider Demographics
NPI:1952145997
Name:ARIEMMA SANCHEZ, ALYSSA ROSE (PMU, ESTHETICAN)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ROSE
Last Name:ARIEMMA SANCHEZ
Suffix:
Gender:F
Credentials:PMU, ESTHETICAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N MAIN ST STE G
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-3096
Mailing Address - Country:US
Mailing Address - Phone:609-994-4550
Mailing Address - Fax:
Practice Address - Street 1:420 N MAIN ST STE G
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-3096
Practice Address - Country:US
Practice Address - Phone:609-994-4550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty