Individual
STEPHANIE MARIE SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 DEGRAW AVE, TEANECK, NJ 07666-4055
(201) 362-3462
Mailing address
868 LINCOLN PL, TEANECK, NJ 07666-2574
(201) 362-3462
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
02/05/2024
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