Healthcare Provider Details

I. General information

NPI: 1730017849
Provider Name (Legal Business Name): SANDRA MARIE NUNEZ-RODRIQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1834 LANCASHIRE DR
SALINAS CA
93906-2198
US

IV. Provider business mailing address

1834 LANCASHIRE DR
SALINAS CA
93906-2198
US

V. Phone/Fax

Practice location:
  • Phone: 831-235-9456
  • Fax: 999-999-9999
Mailing address:
  • Phone: 831-235-9456
  • Fax: 999-999-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number194018
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: