Individual
JAMES SANTISTEBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 ORANGE ST, RIVERSIDE, CA 92501-3613
(951) 955-4420
Mailing address
4000 ORANGE ST, RIVERSIDE, CA 92501-3613
(951) 955-4420
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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