Santos, Marigold Haresco

Santos, Marigold Haresco is an sole proprietor health care provider with primary practice located at 305 Dahoon Holly Dr , Daytona Beach FL 32117-7121. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Hospitals / General Acute Care Hospital. Nursing Service Providers / Registered Nurse is her primary health care specialty. Santos, Marigold Haresco can be contacted via phone (386) 274-0094.

Contact Information

Primary practice address
305 Dahoon Holly Dr Daytona Beach FL 32117-7121
Phone: (386) 274-0094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2963222 Florida
Hospitals / General Acute Care Hospital 282N00000X RN2963222 Florida

Profile Details

NPI number 1245392802
LBN Legal business name Santos, Marigold Haresco
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245392802 NPPES
Missouri Other 135895 RN

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