Provider Information for 1619127842
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ABNER SANTIAGO LPCMH
Sex: Male
NPI: 1619127842
Last Updated: 2024-03-05
Certification Date: 2024-03-05
Certification Date: 2024-03-05
Details
Name | Value | ||||||||||||
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NPI | 1619127842 | ||||||||||||
Enumeration Date | 2008-09-24 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 301 N. HARRISON STREET LATIN AMERICAN COMMUNITY CENTER WILMINGTON, DE 19805 United States Phone: 302-295-2160 | Fax:302-655-5798 | ||||||||||||
Primary Practice Address | 301 N HARRISON ST WILMINGTON, DE 19805-3612 United States Phone: 302-295-2160 | Fax:302-655-5798 | ||||||||||||
Secondary Practice Address(es) | 501 W 14TH ST STE 1E40 161 WILMINGTON W CHESTER PIKE | ||||||||||||
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