Individual
EMILY SANTIAGO GOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 CIRCLE AVE, LYNN, MA 01905-3050
(781) 595-2143
Mailing address
11 CIRCLE AVE, LYNN, MA 01905-3050
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN67168
MA
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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