Individual
NICA MARIE E SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 NW ISLAND CIR APT A4, BEAVERTON, OR 97006-8526
(562) 882-9894
Mailing address
430 NW ISLAND CIR APT A4, BEAVERTON, OR 97006-8526
(562) 882-9894
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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