Healthcare Provider Details

I. General information

NPI: 1427553619
Provider Name (Legal Business Name): WENDI KANANI SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 03/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45-549 PLUMERIA ST
HONOKAA HI
96727-6902
US

IV. Provider business mailing address

PO BOX 250
KAPAAU HI
96755-0250
US

V. Phone/Fax

Practice location:
  • Phone: 808-889-6236
  • Fax: 808-889-1106
Mailing address:
  • Phone: 808-889-6236
  • Fax: 808-889-1106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: