Provider Demographics
NPI:1174325591
Name:SANCHEZ PALMA, DAVINIA ALEJANDRA (LVN)
Entity type:Individual
Prefix:
First Name:DAVINIA
Middle Name:ALEJANDRA
Last Name:SANCHEZ PALMA
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 1:13176 KOCHI DR
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-5955
Mailing Address - Country:US
Mailing Address - Phone:951-347-4769
Mailing Address - Fax:
Practice Address - Street 1:13176 KOCHI DR
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-5955
Practice Address - Country:US
Practice Address - Phone:951-347-4769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA698241164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse