Individual
MR. MICHAEL ANGEL SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-5541
(703) 784-5506
Mailing address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-5541
(703) 784-5506
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/23/2008
Last updated
05/27/2008
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