JUAN JOSE SANTA

PROVIDENCE, RI
NPI1750408415
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-03-26
Last Update Date2007-11-27
Business Address
-- JUAN JOSE SANTA
520 HOPE STREET THE PROVIDENCE CENTER
PROVIDENCE, RI 02906
Phone number: 401-276-4155
Mailing Address
-- JUAN JOSE SANTA
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number: