Individual
RITA SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
20531 DARDEN RD, SOUTH BEND, IN 46637-2915
(574) 272-0100
Mailing address
5132 N ELSTON AVE, CHICAGO, IL 60630-2429
(847) 235-6130
(847) 941-0577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704273192
MI
363L00000X
Nurse Practitioner
Primary
71009009A
IN
Other
Enumeration date
05/17/2018
Last updated
09/15/2020
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