Individual
MARIA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2279 LA GRAMA DR, RANCHO CORDOVA, CA 95670-3136
(916) 248-0543
Mailing address
2279 LA GRAMA DR, RANCHO CORDOVA, CA 95670-3136
(916) 248-0543
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
725847
CA
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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