Individual
CRISTIAN SANTIBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7000
Mailing address
6679 JACKSON FIELDS CT, CENTREVILLE, VA 20121
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
0001174567
VA
Other
Enumeration date
06/27/2007
Last updated
08/03/2007
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