Individual
DR. JOANNE ANDRE' SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
549 W AVON RD, AVON, CT 06001-2909
(860) 673-2225
Mailing address
549 W AVON RD, AVON, CT 06001-2909
(860) 673-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
259CT
CT
111NI0900X
Internist Chiropractor
00259
CT
111NS0005X
Sports Physician Chiropractor
259CT
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00410622
—
CT
Enumeration date
06/30/2006
Last updated
11/18/2014
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