MEDICARE: VICTORIA ANNE SENZEE-SPARLING

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	311Z00000X	Custodial Care Facility
2	376K00000X	Nurse's Aide
3	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1528823036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA ANNE SENZEE-SPARLING

Provider Business Mailing Address
First Line	:	PO BOX 270166
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92198-2166
Country	:	US
Telephone Number	:	858-262-3613
Fax Number	:

Provider Business Practice Location Address
First Line	:	17185 W BERNARDO DR UNIT 107
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-1536
Country	:	US
Telephone Number	:	858-262-3613
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2024
Last Update Date	:	02/14/2024

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