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Individual

RUBEN SANTIESTEBAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7820 RALEIGH ST, HOLLYWOOD, FL 33024
(786) 253-7244
Mailing address
7820 RALEIGH ST, HOLLYWOOD, FL 33024
(786) 253-7244

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
09-241
FL

Other

Enumeration date
02/05/2010
Last updated
02/05/2010
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