Individual
DIANA SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8200
(847) 984-5676
Mailing address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043130712
IL
164W00000X
Licensed Practical Nurse
326568-31
WI
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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