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Individual

AISHA MARPA SANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN/LPN

Contact information

Practice address
1219 STARSTONE CT, HENDERSON, NV 89014-7899
(805) 407-0330
Mailing address
1219 STARSTONE CT, HENDERSON, NV 89014-7899
(805) 407-0330

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
251166
CA

Other

Enumeration date
01/14/2016
Last updated
01/14/2016
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