Individual
MANUEL SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
562 29 RD, GRAND JUNCTION, CO 81504-8901
(970) 256-9424
Mailing address
562 29 RD, GRAND JUNCTION, CO 81504-8901
(970) 256-9424
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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