Provider Demographics
NPI:1891365227
Name:SANTOYO, SIENNA PAULINA
Entity Type:Individual
Prefix:
First Name:SIENNA
Middle Name:PAULINA
Last Name:SANTOYO
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 1:200 S L ST
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-4650
Mailing Address - Country:US
Mailing Address - Phone:559-675-4663
Mailing Address - Fax:559-675-4667
Practice Address - Street 1:200 S L ST
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-4650
Practice Address - Country:US
Practice Address - Phone:559-675-4663
Practice Address - Fax:559-675-4667
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-28
Last Update Date:2023-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer