Individual
RAVEN JANIN MARSHALL-SANTILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
(520) 629-1872
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2109
MA
363A00000X
Physician Assistant
23005919
NY
Other
Enumeration date
12/22/2006
Last updated
12/04/2020
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