Individual
RODRIGO S SANTILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2809 NORTH AVE, RICHMOND, VA 23222-3647
(804) 780-0840
Mailing address
2809 NORTH AVE, RICHMOND, VA 23222-3647
(804) 780-0840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006663
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/16/2018
Last updated
04/27/2019
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