Individual
IRINA SANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 797-2660
Mailing address
8 77TH ST, NORTH BERGEN, NJ 07047-5920
(201) 838-3551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00731600
NJ
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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