Individual
MARTIKA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
955 CONNECTICUT AVE, BRIDGEPORT, CT 06607-1224
(203) 373-9400
Mailing address
955 CONNECTICUT AVE, BRIDGEPORT, CT 06607-1224
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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