Doctor Name: | GLENDALYZ SANCHEZ |
NPI Number: | 1134433527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 18-505959 |
Business Practice Address: | 12050 Lake Ave Apt.409 Lakewood, OH - 441071892 |
Business Phone Number: | 4404292264 |
Business Fax Number: | |
Mailing Address: | 12050 Lake Ave, Apt.409 LAKEWOOD |
State: | OH |
Postal Code: | 441071892 |
Phone Number: | 4404292264 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2010 |
NPI Last Update Date: | 07/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 18-505959 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |