NPI | 1851822332 |
---|---|
Professional Name | JORGE LUIS SANTOS ALBA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11021062) |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: WI 16-808) |
363L00000X Nurse Practitioner (Licence: FL 11021062) | |
Enumeration Date | 2017-03-25 |
Last Update Date | 2023-03-07 |