Individual
RICARDO SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2293 N MAIN ST, CROWN POINT, IN 46307-1854
(219) 755-3385
(219) 755-3387
Mailing address
8893 CLARK PL, CROWN POINT, IN 46307-1651
(787) 359-2855
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012635A
IN
Other
Enumeration date
05/27/2022
Last updated
07/25/2022
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