Individual
YOLANDA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3285 W STOLL RD, LANSING, MI 48906-9357
(517) 507-4855
Mailing address
4352 DELL RD APT J, LANSING, MI 48911-8141
(815) 508-6197
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/21/2012
Last updated
04/29/2024
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