Individual
WILHELMINA MATIENZO SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7410 DELAWARE LN UPPR LEVEL, VANCOUVER, WA 98664-1408
(360) 566-4402
(360) 566-4406
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(360) 566-4402
(915) 577-9315
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P5235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036062
—
WA
Enumeration date
06/05/2009
Last updated
02/14/2025
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