Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1083130256 |
---|---|
Provider Name | Kristen Schutz Santangelo |
First Address | Exton, PA 19341-1276 |
Second Address | Exton, PA 19341-1276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2017 |
Last Update Date | 18/08/2017 |