Individual
NELSON SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16548 SW 47TH TER, MIAMI, FL 33185-5129
(786) 419-8388
Mailing address
16548 SW 47TH TER, MIAMI, FL 33185-5129
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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