Individual
TAINA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3554 SHELMIRE AVE, PHILADELPHIA, PA 19136-3527
(215) 668-1291
Mailing address
3554 SHELMIRE AVE, PHILADELPHIA, PA 19136-3527
(215) 668-1291
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
45473601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037165600001
—
PA
Enumeration date
12/21/2020
Last updated
12/21/2020
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