Individual
PHILLIP ROSS-SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3440 OAKWOOD HILLS PKWY, EAU CLAIRE, WI 54701-7698
(715) 214-2525
Mailing address
3440 OAKWOOD HILLS PKWY, EAU CLAIRE, WI 54701-7698
(715) 214-2525
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330609
WI
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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