Individual
LEANARD SANNY DAOANG SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 S 13TH ST, PEKIN, IL 61554-4936
(309) 353-0529
Mailing address
600 S 13TH ST, PEKIN, IL 61554-4936
(309) 353-0529
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209011361
IL
Other
Enumeration date
04/24/2014
Last updated
05/13/2014
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