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Individual

TYLETTE LUZ SANTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
351 W CAMDEN ST, BALTIMORE, MD 21201-7912
(410) 625-2200
(888) 783-7111
Mailing address
351 W CAMDEN ST, BALTIMORE, MD 21201-7912

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306663
NY

Other

Enumeration date
06/17/2015
Last updated
06/17/2015
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