Search › California › 183500000X
Imelda De Los Santos
NPI 1295341709 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2502 Shay Ct # 2502
Fortuna, CA 95540 - Phone
- (661) 742-6829
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California