Individual
ANITA SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
500 N 9TH ST, SUITE B, MODESTO, CA 95350-5814
(209) 341-1824
Mailing address
4001 ELMO LOOP, #B, MODESTO, CA 95356-0135
(209) 545-1147
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
204007
CA
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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