Individual
JENAIR SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 GOVERNMENT RD UNIT C, MATTAWA, WA 99349-1943
(509) 932-0100
Mailing address
103 N ELLICE ST SPC 1A, MATTAWA, WA 99349-4002
(509) 932-7311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/28/2022
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