Individual
THERESA JOY VENTA SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1316 W FOREST HOME AVE, MILWAUKEE, WI 53204-3227
(414) 777-7700
Mailing address
681 HAMILTON LN, NORTH AURORA, IL 60542-9115
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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