Individual
BRIANNA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LATC
Contact information
Practice address
588 LONGMEADOW ST, LONGMEADOW, MA 01106-2212
(413) 565-1016
Mailing address
588 LONGMEADOW ST, LONGMEADOW, MA 01106-2212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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