Individual
VIDES APRESTO SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2592 N SANTIAGO BLVD UNIT 100, ORANGE, CA 92867-1862
(855) 434-7763
Mailing address
20626 E OAK CREST DR, DIAMOND BAR, CA 91765-4704
(818) 741-6462
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017592
CA
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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