Provider Demographics
NPI:1154866713
Name:SANTIAGO, ASHLEY
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4386 7TH ST SE
Mailing Address - Street 2:APT 204
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-3524
Mailing Address - Country:US
Mailing Address - Phone:202-344-9922
Mailing Address - Fax:
Practice Address - Street 1:4386 7TH ST SE
Practice Address - Street 2:APT 204
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-3524
Practice Address - Country:US
Practice Address - Phone:202-344-9922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide