Individual
MICHAEL RONALD SANTIAGO ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
250 S GRAND AVE, GLENDORA, CA 91741-4218
(626) 963-8411
Mailing address
213 CREIGHTON CIR, CLAREMONT, CA 91711-5222
(501) 554-3544
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95217647
CA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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