Individual
TALIA DESIREE SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(617) 383-6522
Mailing address
182 THORNDIKE ST, CAMBRIDGE, MA 02141-1534
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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