Individual
NHORA A. SANTIAGO-GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1571 GRANTS MILL RUN, DACULA, GA 30019-5425
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
168130
GA
246ZC0007X
Surgical Assistant
—
GA
Other
Enumeration date
10/05/2016
Last updated
03/11/2022
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