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Individual

MRS. DORIS N SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
1008 BARRETT AVE, DUNDEE, FL 33838-4620
(863) 439-2428
Mailing address
1008 BARRETT AVE, DUNDEE, FL 33838-4620
(863) 439-2428

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2548362
FL
222Q00000X
Developmental Therapist
Primary
2548362
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
222QOOOOOX
FL
Enumeration date
07/14/2008
Last updated
07/14/2008
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