ANTONIO SANTA MARIA

DETROIT, MI
NPI1699497149
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MI  6362009601)
Enumeration Date2022-09-12
Last Update Date2022-09-12
Business Address
ANTONIO SANTA MARIA
555 BRUSH ST APT 1018
DETROIT, MI 48226-4353
Phone number: 515-314-9584
Mailing Address
ANTONIO SANTA MARIA
555 BRUSH ST APT 1018
DETROIT, MI 48226-4353
Phone number: