Individual
LAURA TATE SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
103 VALLEY CENTER DR, STAUNTON, VA 24401-5080
(540) 332-8743
Mailing address
PO BOX 2500, STAUNTON, VA 24402-2500
(540) 332-8200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101240996
VA
Other
Enumeration date
03/06/2007
Last updated
01/14/2016
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