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Individual
ANTHONY VINCENT SANTALUCIA
Active
Individual
ANTHONY VINCENT SANTALUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001265510
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024176566
VA
Other
Enumeration date
08/02/2018
Last updated
07/26/2019
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