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Individual

SAMANTHA G SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1 CHILDRENS WAY # 707, LITTLE ROCK, AR 72202
(501) 364-2914
(501) 364-1649
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-858
AR
363AM0700X
Medical Physician Assistant
1146648
AZ

Other

Enumeration date
11/07/2017
Last updated
04/19/2024
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