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Individual

ERIC SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 WILLOW ST, LYNN, MA 01901-1139
(781) 691-7060
(781) 691-7064
Mailing address
100 WILLOW ST, LYNN, MA 01901-1139
(781) 691-7060
(781) 691-7064

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171M00000X
CASE MANAGER/CARE COORDINATOR
MA
Enumeration date
03/15/2017
Last updated
03/15/2017
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