Individual
TONI ANN SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
37041 GOATS RD, SPRINGFIELD, OR 97478-9788
(541) 810-3398
Mailing address
37041 GOATS RD, SPRINGFIELD, OR 97478-9788
(541) 810-3398
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130320LPN
OR
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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