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Individual

MRS. MARIGOLD HARESCO SANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
305 DAHOON HOLLY DR, DAYTONA BEACH, FL 32117-7121
(386) 274-0094
Mailing address
305 DAHOON HOLLY DR, DAYTONA BEACH, FL 32117-7121
(386) 274-0094

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2963222
FL
282N00000X
General Acute Care Hospital
Primary
RN2963222
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135895
RN
MO
Enumeration date
12/13/2006
Last updated
09/11/2025
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