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Individual

MS. ADRIANA SANTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2081 BRONZE STAR DR, WOODLAND, CA 95776-5423
(530) 668-2600
(530) 661-1027
Mailing address
3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A16697
CA

Other

Enumeration date
04/05/2017
Last updated
08/31/2020
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