Individual
EDWARD ARCEO SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN-FNP, NP-C
Contact information
Practice address
490 E DESERT WILLOW RD, AZUSA, CA 91702-1418
(323) 717-5181
Mailing address
490 E DESERT WILLOW RD, AZUSA, CA 91702-1418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23099
CA
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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