Individual
JAQUELIN DE LOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6736 LAUREL CANYON BLVD STE 200, NORTH HOLLYWOOD, CA 91606-1576
(818) 984-1691
Mailing address
6736 LAUREL CANYON BLVD STE 200, NORTH HOLLYWOOD, CA 91606-1576
(818) 984-1691
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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