Individual
WANDA SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 HAYES ST, BRIDGEPORT, CT 06608-1515
(203) 243-0341
Mailing address
56 HAYES ST, BRIDGEPORT, CT 06608-1515
(203) 243-0341
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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