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Individual

SORRELL SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CTRS

Contact information

Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
84530
CA

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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