Provider Demographics
NPI:1922805522
Name:GARCIA MEDRANO, SAHORI
Entity type:Individual
Prefix:
First Name:SAHORI
Middle Name:
Last Name:GARCIA MEDRANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5832 S 48TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68117-2518
Mailing Address - Country:US
Mailing Address - Phone:531-375-9240
Mailing Address - Fax:
Practice Address - Street 1:5832 S 48TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68117-2518
Practice Address - Country:US
Practice Address - Phone:531-375-9240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No376J00000XNursing Service Related ProvidersHomemaker