Individual
JENNISH SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT, RCP
Contact information
Practice address
1337 S GAFFEY ST APT 1, SAN PEDRO, CA 90731-4062
(310) 347-7553
Mailing address
1337 S GAFFEY ST APT 1, SAN PEDRO, CA 90731-4062
(310) 347-7553
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
24862
CA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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