Provider Demographics
NPI:1841326071
Name:SANTORA, MARIE (NMD)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:
Last Name:SANTORA
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 E PLAZA CIR STE G
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-4916
Mailing Address - Country:US
Mailing Address - Phone:623-925-2722
Mailing Address - Fax:623-386-0211
Practice Address - Street 1:501 E PLAZA CIR STE G
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-4916
Practice Address - Country:US
Practice Address - Phone:623-925-2722
Practice Address - Fax:623-386-0211
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ03-725175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath