Individual
JESSENIA LIZ PRATTS SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 PARKER IVEY DR, GREENVILLE, SC 29607-6513
(864) 288-2136
Mailing address
620 HALTON RD APT 7002, GREENVILLE, SC 29607-3484
(787) 432-0591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4973
SC
Other
Enumeration date
07/05/2023
Last updated
10/19/2023
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