Individual
MRS. ALEXANDRIA DENISE SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MAXIM HEALTHCARE SERVICES, 293 INDEPENDENCE BLVD SUITE 4, VIRGINIA BEACH, VA 23462
(757) 490-3009
Mailing address
3 RIDGEFIELD DR, ELIZABETH CITY, NC 27909-9732
(916) 960-9881
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1516177175
TRICARE
NC
Enumeration date
02/19/2021
Last updated
02/19/2021
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