Individual
VANESSA SANTILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
283 SE FOWLER ST STE 2, ROSEBURG, OR 97470-3309
(541) 600-9073
Mailing address
283 SE FOWLER ST STE 2, ROSEBURG, OR 97470-3309
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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