NPI | 1467703165 |
---|---|
Other Name | CANNELLE SANTOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2012-09-21 |
Last Update Date | 2024-04-29 |