Individual
DIANA M MUNERA-SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1 PARKWAY, HAVERHILL, MA 01830-6278
(978) 521-3270
(978) 469-5631
Mailing address
1 PARKWAY, HAVERHILL, MA 01830-6278
(978) 521-3270
(978) 469-5631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4402
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA4402
LICENSE
MA
Enumeration date
03/01/2012
Last updated
12/03/2014
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