Provider Information for 1255967766
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DENISE SANT'ANA
Other Names:Professional Name:DENISE SANT'ANA FLACKSex: Female
NPI: 1255967766
Last Updated: 2020-03-16
Certification Date: 2020-03-16
Certification Date: 2020-03-16
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1255967766 | ||||||||
| Enumeration Date | 2020-03-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 33927 RENEE AVE DENHAM SPRINGS, LA 70706-1123 United States Phone: 337-322-5471 | Fax: | ||||||||
| Primary Practice Address | 33927 RENEE AVE DENHAM SPRINGS, LA 70706-1123 United States Phone: 337-322-5471 | Fax: | ||||||||
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