Individual
MARIAH SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
518 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8734
(772) 873-8811
Mailing address
4435 BELLE GROVE DR, FORT PIERCE, FL 34981-5081
(772) 979-6783
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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