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NPI Code Detail

MEDICARE: MRS. JESSICA LYNN SANCHEZ

MEDICARE: MRS. JESSICA LYNN SANCHEZ
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSZ6915FL

General Provider Information

NPI Number : 1801138383
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA LYNN SANCHEZ
Provider Business Mailing Address
First Line : 5560 NW 114TH AVE UNIT 103
Second Line :
City : DORAL
State : FL
Zip : 33178-3573
Country : US
Telephone Number : 239-470-1579
Fax Number :
Provider Business Practice Location Address
First Line : 12494 SW 127TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-6597
Country : US
Telephone Number : 305-255-5980
Fax Number : 305-255-9766
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2013
Last Update Date : 04/27/2015

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Directions to “ MRS. JESSICA LYNN SANCHEZ ” Practice Location

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