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NPI Code Detail

MEDICARE: DESIREA SANTANA

MEDICARE: DESIREA SANTANA
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1902761455
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIREA SANTANA
Provider Business Mailing Address
First Line : 3500 LAKESIDE CT STE 145
Second Line :
City : RENO
State : NV
Zip : 89509-4866
Country : US
Telephone Number : 775-359-7272
Fax Number : 775-825-1344
Provider Business Practice Location Address
First Line : 3500 LAKESIDE CT STE 145
Second Line :
City : RENO
State : NV
Zip : 89509-4866
Country : US
Telephone Number : 775-359-7272
Fax Number : 775-825-1344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ DESIREA SANTANA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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