Healthcare Provider Details
I. General information
NPI: 1043049919
Provider Name (Legal Business Name): MARIA CORINA SANCHEZ MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/30/2024
Last Update Date: 07/30/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
355 DOVER PKWY
DELANO CA
93215-3440
US
IV. Provider business mailing address
PO BOX 1559
BAKERSFIELD CA
93302-1559
US
V. Phone/Fax
- Phone: 661-720-4011
- Fax:
- Phone: 661-635-3050
- Fax: 661-732-3064
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: