Individual
IOLANTE SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3004 CICKETT DR., 3004 CRICKETT DR., PLNO, TX 75023
(469) 756-8800
Mailing address
524 BASILICA LN, MCKINNEY, TX 75071-5136
(142) 914-5228
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1049020
TX
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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