Individual
MARIA SANTIAGO-SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
192 LINDQUIST RD, FT STEWART, HAWKS CLINICS,, LIBERTY, GA 31314
(912) 435-5564
(912) 435-6310
Mailing address
709 WICKHAM DR, EVANS, GA 30809-7458
(912) 435-5564
(912) 435-6310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9375475
FL
163WC0400X
Case Management Registered Nurse
Primary
002053
PR
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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