Provider Demographics
NPI:1861973695
Name:SAINZ, BRYCE
Entity type:Individual
Prefix:
First Name:BRYCE
Middle Name:
Last Name:SAINZ
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 1:17 WARFIELD PL
Mailing Address - Street 2:
Mailing Address - City:LAVALE
Mailing Address - State:MD
Mailing Address - Zip Code:21502-7433
Mailing Address - Country:US
Mailing Address - Phone:240-522-4961
Mailing Address - Fax:
Practice Address - Street 1:17 WARFIELD PL
Practice Address - Street 2:
Practice Address - City:LAVALE
Practice Address - State:MD
Practice Address - Zip Code:21502-7433
Practice Address - Country:US
Practice Address - Phone:240-522-4961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program