Most Relevant Information
Provider Data
| NPI Number: | 1003512328 |
| Provider Name: | AIMEE LYN DELOS SANTOS |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1101X |
| Specialty: | Technician/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/07/2023 |
| Last Updated: | 02/07/2023 |
Provider Practice Location
949 S GLENDALE ST
WICHITA
KS
672183210
Practice Location Phone/Fax
| Phone: | 3166852221 |
| Fax: |
Provider Mailing Location
949 S GLENDALE ST
WICHITA
KS
672183210
Provider Mailing Phone/Fax
| Phone: | 3166852221 |
| Fax: |