Individual
ANNETTE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOMEMAKER
Contact information
Practice address
2019 SPRINGWOOD RD, GAUTIER, MS 39553-7301
(228) 219-4537
Mailing address
2019 SPRINGWOOD RD, GAUTIER, MS 39553-7301
(228) 219-4537
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
158093872982908
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158093872982908
—
MS
Enumeration date
05/01/2020
Last updated
05/01/2020
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