Individual provider · Type 1 NPI

Tenealle Santillon

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1710649405 Active

Practice location

83 Maiden Ln
New York, NY 10038-4812

Mailing address

8650 Boulevard E Apt 4A
North Bergen, NJ 07047-6089

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710649405

Tenealle Santillon's National Provider Identifier is 1710649405, issued on Oct 10, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Oct 10, 2021.