Individual
MS. ELVIE YU SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 E COOLEY DR, COLTON, CA 92324-3905
(909) 423-0750
Mailing address
3138 MARY ANN LN, SAN BERNARDINO, CA 92404-2714
(909) 561-1200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
509612
CA
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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