Individual
TASHIA MARIE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10475 CENTURION PKWY N STE 220, JACKSONVILLE, FL 32256-5004
(904) 634-0640
(904) 634-0203
Mailing address
6500 BOWDEN RD STE 103, JACKSONVILLE, FL 32216-8066
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN9413788
FL
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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