Individual
ESMERALDA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9421 BARRINGTON LN, PORT RICHEY, FL 34668-4456
(727) 809-2066
Mailing address
9421 BARRINGTON LN, PORT RICHEY, FL 34668-4456
(727) 809-2066
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001872800
—
FL
Enumeration date
10/07/2014
Last updated
10/07/2014
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