Individual
EDELMIRA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43520 DIVISION ST, LANCASTER, CA 93535-4089
(661) 266-4783
Mailing address
43520 DIVISION ST, LANCASTER, CA 93535-4089
(661) 266-4783
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-GRMCFX
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
PENNY LANE
CA
Enumeration date
05/20/2010
Last updated
02/01/2024
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