Individual
MS. LISETTE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 PURDUE AVE, ELYRIA, OH 44035-7231
(440) 543-7448
Mailing address
740 PURDUE AVE, ELYRIA, OH 44035-7231
(440) 543-7448
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376189930197
OH
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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