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Individual

MRS. ANGELINA FUENTES-SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7068
(334) 255-7368
Mailing address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7068
(334) 255-7368

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E1271590
TX
163W00000X
Registered Nurse
Primary
808115
TX

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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