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Individual
ELIDA SANTANA
Active
Individual
ELIDA SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95012407
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
95-12407
CA
Other
Enumeration date
08/09/2019
Last updated
05/26/2023
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