Teddy Santiago

NPI #1558843623 in Sedalia, Missouri

Provider Information

NPI Number: 1558843623
Entity Type: Individual
Name: Teddy Santiago
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Sep 5, 2018
Last Updated: Sep 5, 2018

Practice Location

Address: 101B SOUTH WASINGTON
City: Sedalia
State: Missouri
ZIP Code: 65301
Phone: (660) 851-0537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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