Individual
CHANTELLE SANTISTEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
417 S INDIANA AVE, TRINIDAD, CO 81082-3126
(719) 846-4416
(719) 846-6408
Mailing address
1026 W ABRIENDO AVE, PUEBLO, CO 81004-1128
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0171773
CO
Other
Enumeration date
09/19/2012
Last updated
02/21/2013
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