Individual
MRS. YOLANDA A SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 HAWTHORN LN, DANIELS, WV 25832-9269
(304) 763-3674
Mailing address
PO BOX 580, BECKLEY, WV 25802-0580
(304) 763-3674
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13221
WV
208D00000X
General Practice Physician
13221
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001720560
BC
WV
05
—
0048997000
—
WV
01
—
080141780
W COMP
WV
Enumeration date
10/31/2005
Last updated
10/16/2012
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