Individual
EZRA JAY SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
224199-30
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
13361-33
WI
Other
Enumeration date
01/14/2022
Last updated
11/30/2022
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