Individual
EUGENE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 BIRCH DRIVE, VERNON, NJ 07462
(973) 222-1268
Mailing address
703 FOURMILE RD, 6, RICHMOND, KY 40475
(973) 222-1268
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT984
KY
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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