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NPI Code Detail

MEDICARE: MRS. MARIE L SANTOS C.D.

MEDICARE:  MRS. MARIE L SANTOS  C.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula

General Provider Information

NPI Number : 1194050542
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIE L SANTOS C.D.
Provider Business Mailing Address
First Line : 611 GLORIA AVE
Second Line :
City : SANGER
State : CA
Zip : 93657-3565
Country : US
Telephone Number : 619-254-9716
Fax Number :
Provider Business Practice Location Address
First Line : 611 GLORIA AVE
Second Line :
City : SANGER
State : CA
Zip : 93657-3565
Country : US
Telephone Number : 619-254-9716
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2009
Last Update Date : 10/02/2009

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Directions to “ MRS. MARIE L SANTOS C.D.” Practice Location

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