Provider Demographics
NPI:1982275384
Name:SANCHEZ, YANNEL ADRIANA
Entity Type:Individual
Prefix:
First Name:YANNEL
Middle Name:ADRIANA
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 1:22332 SAGE TRL
Mailing Address - Street 2:
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-4416
Mailing Address - Country:US
Mailing Address - Phone:619-964-6239
Mailing Address - Fax:
Practice Address - Street 1:22332 SAGE TRL
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-4416
Practice Address - Country:US
Practice Address - Phone:619-964-6239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60453225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist