Individual
RYAN JAMES SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 572-3200
Mailing address
12658 N 150TH LN, SURPRISE, AZ 85379-6916
(619) 767-8826
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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