Individual
ANN MARIE SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6115 CAMP BOWIE BLVD, FORT WORTH, TX 76116-5512
(817) 831-1105
Mailing address
6300 STONE LAKE CT, FORT WORTH, TX 76179-7766
(682) 557-9669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
868336
TX
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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