Individual
FABIAN SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1940 NICE DR APT 106, CORONA, CA 92882-4584
(209) 484-8372
Mailing address
1940 NICE DR APT 106, CORONA, CA 92882-4584
(209) 484-8372
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
04/11/2020
Last updated
04/11/2020
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