Individual
MRS. SHIRLEY SANTANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6196 W KERRY LN, GLENDALE, AZ 85308-7651
(360) 471-5263
Mailing address
6196 W KERRY LN, GLENDALE, AZ 85308-7651
(360) 471-5263
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60122499
WA
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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