Individual
SHAYNE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 N EDGEMONT ST, LOS ANGELES, CA 90027-5260
(323) 783-4011
Mailing address
17659 SARENTINA CT, BELLFLOWER, CA 90706-7035
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001761
CA
Other
Enumeration date
09/19/2022
Last updated
09/26/2023
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