Individual
MS. ANA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2507 E 12TH ST BSMT, BROOKLYN, NY 11235-5007
(347) 576-4878
Mailing address
2507 E 12TH ST BSMT, BROOKLYN, NY 11235-5007
(347) 576-4878
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317362
NY
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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