Basic Information
| Provider Information | |||||||||
| NPI: | 1306226840 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SANCHEZ | ||||||||
| FirstName: | DAWNA | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | R.D., C.D.E | ||||||||
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| Mailing Information | |||||||||
| Address1: | 629 AVENUE D | ||||||||
| Address2: | |||||||||
| City: | SNOHOMISH | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982902330 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603583551 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4220 HOYT AVE | ||||||||
| Address2: | |||||||||
| City: | EVERETT | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982032317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4252585330 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/29/2015 | ||||||||
| LastUpdateDate: | 11/13/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | R687821 | CA | N | Dietary & Nutritional Service Providers | Dietitian, Registered | 133V00000X | DI60717136 | WA | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.