Individual
CHITO ALFONSO SANTIAGO COLORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1802 YAKIMA AVE STE 304, TACOMA, WA 98405-5305
(253) 627-1244
(253) 627-6576
Mailing address
1802 YAKIMA AVE STE 304, TACOMA, WA 98405-5305
(253) 627-1244
(253) 627-6576
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61411287
WA
363LA2100X
Acute Care Nurse Practitioner
APRN11023051
FL
363LG0600X
Gerontology Nurse Practitioner
AP61411287
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2250959
—
WA
Enumeration date
11/16/2022
Last updated
11/03/2023
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