Individual
CHRISTALEE-GAYLE SHIAN SANTOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 SEYMOUR DR, NEWPORT, VT 05855-9309
(802) 624-8011
Mailing address
115 SEYMOUR DR, NEWPORT, VT 05855-9309
(802) 624-8011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0135450
VT
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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