Individual
ANGELINA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
301 E 13TH ST STE D, MERCED, CA 95341-6211
(209) 386-1096
Mailing address
1100 MAPLE ST, ATWATER, CA 95301-3915
(209) 276-3889
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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