Individual
JAIDA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 MAIN ST STE 410, WEST ORANGE, NJ 07052-5441
(732) 484-2097
Mailing address
380 MOUNT PROSPECT AVE, NEWARK, NJ 07104-2136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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