Individual
ALEXANDRA DE LOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3426 GRACE AVE, BRONX, NY 10469-2612
(917) 945-1514
Mailing address
3426 GRACE AVE, BRONX, NY 10469-2612
(917) 945-1514
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2017
Last updated
03/11/2017
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