Individual
VIVIAN DE SANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26284 OSO RD, SAN JUAN CAPISTRANO, CA 92675-1629
(949) 842-9557
Mailing address
24972 CAMBERWELL ST, LAGUNA HILLS, CA 92653-4625
(949) 741-4675
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2913
CA
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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