Individual
JHOANNA M. SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 E. KINCAID ST., SKAGIT REGIONAL CLINICS, MOUNT VERNON, WA 98274-4127
(360) 428-2592
(360) 428-2560
Mailing address
1400 E. KINCAID ST., ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00047840
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD00047840
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263672
LABOR & INDUSTRIES
WA
Enumeration date
05/25/2007
Last updated
10/05/2012
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