Most Relevant Information
Provider Data
| NPI Number: | 1003452327 |
| Provider Name: | GEORGINA LISA SANCHEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/21/2019 |
| Last Updated: | 11/21/2019 |
Provider Practice Location
18612 SANTA ANA AVE
BLOOMINGTON
CA
923162636
Practice Location Phone/Fax
| Phone: | 9094217120 |
| Fax: |
Provider Mailing Location
18612 SANTA ANA AVE
BLOOMINGTON
CA
923162636
Provider Mailing Phone/Fax
| Phone: | 9094217120 |
| Fax: |