Individual
CHRISTINA MARIA DE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8603 BASIL BRK, CONVERSE, TX 78109-4080
(575) 495-0400
Mailing address
8603 BASIL BRK, CONVERSE, TX 78109-4080
(575) 495-0400
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347731
TX
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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