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1720517196
LISA RENEE SANTANA
SACRAMENTO, CA
NPI
1720517196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1211490815)
Enumeration Date
2017-06-08
Last Update Date
2022-07-21
Business Address
LISA RENEE SANTANA RADT
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number: 916-452-3064
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Mailing Address
LISA RENEE SANTANA RADT
2727 P ST
SACRAMENTO, CA 95816-6403
Phone number: 916-452-3064
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