Individual
TIFFANY MICHELLE SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 COURTLAND AVENUE, BRONX, NY 11369
(719) 593-1471
Mailing address
9903 23RD AVE # 1F, EAST ELMHURST, NY 11369-1303
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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