Individual
MICHAEL SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4609 ROOSEVELT AVE, SANTA ANA, CA 92703-2550
(714) 504-2916
Mailing address
4609 ROOSEVELT AVE, SANTA ANA, CA 92703-2550
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
41396
CA
Other
Enumeration date
08/05/2014
Last updated
01/06/2015
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