Provider Demographics
NPI:1447904404
Name:SANCHEZ, ANTONIO A
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:A
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12831 NELSON RD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98903-9117
Mailing Address - Country:US
Mailing Address - Phone:509-945-3571
Mailing Address - Fax:
Practice Address - Street 1:12831 NELSON RD
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98903-9117
Practice Address - Country:US
Practice Address - Phone:509-945-3571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter