Individual
MARIANITA SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 9119 MIL PARK AVE, FORT LEWIS, WA 98433
(253) 966-9960
Mailing address
9119 MIL PARK AVE, JOINT BASE LEWIS MACCHORD, WA 98433
(253) 966-9960
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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