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Individual

TANIA SANTIAGO-GREATHOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
790 E BOULDER CREEK LN, FRESNO, CA 93730-1237
(559) 790-4275
Mailing address
790 E BOULDER CREEK LN, FRESNO, CA 93730-1237
(559) 790-4275

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
D2990017
CA

Other

Enumeration date
11/27/2018
Last updated
11/27/2018
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