Individual
KENETTE ANIEL SANTIAGO OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 EUSTIS ST, BOSTON, MA 02119-3800
(617) 445-1123
(857) 547-1186
Mailing address
25 PLANT CT APT 373, BOSTON, MA 02130-1309
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MA
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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