Individual
CHERYL LYNN SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1075 E HUDSON BLVD, GASTONIA, NC 28054-1694
(724) 773-0777
Mailing address
1075 E HUDSON BLVD, GASTONIA, NC 28054-1694
(866) 389-2727
(401) 216-3854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001008296
NC
363AM0700X
Medical Physician Assistant
MA053823
PA
Other
Enumeration date
05/30/2008
Last updated
12/21/2018
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