Individual
GWENDOLYN SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
2423 MOUNTAIN VIEW AVE, MELBOURNE, FL 32935-2134
(917) 674-3072
Mailing address
2423 MOUNTAIN VIEW AVE, MELBOURNE, FL 32935-2134
(917) 674-3072
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
F6A856B334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L21000093686
—
FL
Enumeration date
12/08/2022
Last updated
12/08/2022
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