Individual
ANGELICA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
718 GARDEN PLZ, ORLANDO, FL 32803-4212
(407) 894-8894
(407) 894-8893
Mailing address
718 GARDEN PLZ, ORLANDO, FL 32803-4212
(407) 894-8894
(407) 894-8893
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH11866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMH11866
MEDICAL QUALITY ASSURANCE
FL
Enumeration date
12/28/2013
Last updated
12/28/2013
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