Healthcare Provider Details

I. General information

NPI: 1295971364
Provider Name (Legal Business Name): CONSTANCE J SANCHEZ ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CONNIE J SANCHEZ ND

II. Dates (important events)

Enumeration Date: 12/19/2008
Last Update Date: 02/13/2022
Certification Date: 02/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15215 SE 272ND ST STE 105
KENT WA
98042-9918
US

IV. Provider business mailing address

2136 S 260TH ST APT CC201
DES MOINES WA
98198-9088
US

V. Phone/Fax

Practice location:
  • Phone: 425-395-7542
  • Fax: 425-657-9834
Mailing address:
  • Phone: 619-973-9596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00001396
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: