Individual
JAHNIAH SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 SOUTH ST, SOMERVILLE, MA 02143-4297
(617) 284-5130
Mailing address
128 MOUNT PLEASANT AVE, BOSTON, MA 02119-3350
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/19/2017
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