Individual
CLARA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 W CHALMERS AVE, YOUNGSTOWN, OH 44507-1118
(330) 707-5541
Mailing address
36 W CHALMERS AVE, YOUNGSTOWN, OH 44507-1118
(330) 707-5541
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
147571
OH
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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