Individual
SUSANA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S JUNIPER ST, PHILADELPHIA, PA 19107-2703
(215) 479-4521
Mailing address
1121 E STAFFORD ST, PHILADELPHIA, PA 19138-1830
(215) 479-4521
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
84263601
PA
Other
Enumeration date
03/05/2025
Last updated
03/06/2025
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