Provider Demographics
NPI:1760670798
Name:SANTIAGO, JAMIE VICTORIA ((DC) CHIROPRACTIC)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:VICTORIA
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:(DC) CHIROPRACTIC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:VICTORIA
Other - Last Name:BONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8010 WAYLAND LN. STE 1B
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95148
Mailing Address - Country:US
Mailing Address - Phone:408-847-8555
Mailing Address - Fax:408-847-6709
Practice Address - Street 1:8010 WAYLAND LN. STE 1B
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95148
Practice Address - Country:US
Practice Address - Phone:408-847-8555
Practice Address - Fax:408-847-6709
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30731111N00000X
CADC-30731111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor