Individual
MR. CARLOS ENRIQUE SANTELLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 S MYRTLE AVE, MONROVIA, CA 91016-3427
(626) 357-3258
Mailing address
616 N 21ST ST, MONTEBELLO, CA 90640-3140
(323) 313-3259
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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