Provider Demographics
NPI:1861696486
Name:SANCHEZ, GEORGIANA DARLYN (LVN)
Entity type:Individual
Prefix:
First Name:GEORGIANA
Middle Name:DARLYN
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 CANTERBURY CIR
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-2162
Mailing Address - Country:US
Mailing Address - Phone:909-801-9962
Mailing Address - Fax:
Practice Address - Street 1:1505 CANTERBURY CIR
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-2162
Practice Address - Country:US
Practice Address - Phone:909-801-9962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN225657164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse