Provider Demographics
NPI:1205692068
Name:ROBBINS, SANDRA VALADAO
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:VALADAO
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10455 N WOODROW AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-4707
Mailing Address - Country:US
Mailing Address - Phone:559-930-8760
Mailing Address - Fax:
Practice Address - Street 1:10455 N WOODROW AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93730-4707
Practice Address - Country:US
Practice Address - Phone:559-930-8760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator