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NPI Code Detail

MEDICARE: ANGE PRYCIA SANSA

MEDICARE:   ANGE PRYCIA  SANSA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1134000573
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGE PRYCIA SANSA
Provider Business Mailing Address
First Line : 3859 WOODRIDGE BLVD
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-7638
Country : US
Telephone Number : 513-499-6601
Fax Number :
Provider Business Practice Location Address
First Line : 3859 WOODRIDGE BLVD
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-7638
Country : US
Telephone Number : 513-499-6601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2025
Last Update Date : 09/11/2025

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Directions to “ ANGE PRYCIA SANSA ” Practice Location

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