Individual
KEVIN BRYAN SANTIZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 EVERGREEN AVE, DALY CITY, CA 94014-1208
(415) 410-6742
Mailing address
251 EVERGREEN AVE, DALY CITY, CA 94014-1208
(415) 410-6742
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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