Individual
ANDREA DESANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7205 S GEORGE BLVD, SEBRING, FL 33875-5847
(863) 382-7277
Mailing address
3054 VERMILLION CT, ZOLFO SPRINGS, FL 33890-9620
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9397850
FL
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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