DOMINGO A SANTOS

LAKE WORTH, FL
NPI1487082707
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: FL  S532-161-63-460-0)
Enumeration Date2013-10-23
Last Update Date2013-10-23
Business Address
-- DOMINGO A SANTOS
6164 GRAND CYPRESS CIR
LAKE WORTH, FL 33463-7355
Phone number: 561-385-9102
Mailing Address
-- DOMINGO A SANTOS
6164 GRAND CYPRESS CIR
LAKE WORTH, FL 33463-7355
Phone number: 561-385-9102
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