Doctor Name: | MRS. YOLANDA A SANTOS |
NPI Number: | 1205827144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 13221 |
Business Practice Address: | 106 Hawthorn Ln Daniels, WV - 258329269 |
Business Phone Number: | 3047633674 |
Business Fax Number: | |
Mailing Address: | Po Box 580, BECKLEY |
State: | WV |
Postal Code: | 258020580 |
Phone Number: | 3047633674 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2005 |
NPI Last Update Date: | 10/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13221 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |