Individual
ALTOVISTE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5637 GAINOR RD, PHILA, PA 19131-1330
(267) 616-6075
Mailing address
5637 GAINOR RD, PHILA, PA 19131-1330
(267) 616-6075
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
42413601
PA
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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