Individual
EDIRIS SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3209 ESPINOSA DR APT 303, KISSIMMEE, FL 34741-0956
(787) 310-6653
Mailing address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 910-2941
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3499
FL
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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