Individual
DESTINY CHARICE SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 E FOOTHILL BLVD, PASADENA, CA 91107-3439
(626) 577-2261
Mailing address
2650 E FOOTHILL BLVD, PASADENA, CA 91107-3439
(323) 246-2364
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
735901
CA
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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