Individual
JAYCEE SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9703 LOOKOUT RD, BACONTON, GA 31716-7834
(229) 376-0659
Mailing address
9703 LOOKOUT RD, BACONTON, GA 31716-7834
(229) 376-0659
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002039
GA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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