Individual
ANDREA MICHELLE DE LOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4530 BELTWAY DR, ADDISON, TX 75001-3707
(214) 636-0871
Mailing address
3329 PARSONS RD, VICTORIA, TX 77904-4759
(619) 359-6463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115062
TX
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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