Individual
DEBORA SANTIAGO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
172 W MAIN ST, MERIDEN, CT 06451-4104
(203) 235-6305
(203) 235-0244
Mailing address
61 KENSINGTON HTS, MERIDEN, CT 06451-2035
(203) 440-3041
(203) 235-0244
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
4460
CT
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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