Individual
ILIUSHA M SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23711 SW 108TH AVE, HOMESTEAD, FL 33032-6109
(786) 318-7106
Mailing address
23711 SW 108TH AVE, HOMESTEAD, FL 33032-6109
(786) 318-7106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9261819
FL
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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