| NPI | 1164736476 |
|---|---|
| Doing Business As | NICHOLAS N. DESANTIS DPM |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS NELSON DESANTIS CEO/Owner 619-239-3286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2474) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-11-18 |