Individual
LISBETH DE LOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
346 68TH ST SW, KENTWOOD, MI 49548-7179
(616) 329-5779
Mailing address
1708 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49507-2564
(616) 329-5779
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
10/02/2023
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