Santoso, Erva

Santoso, Erva is an individual health care provider with primary practice located at 18511 Highlander Medics St , Fort Bliss TX 79906-5327. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Santoso, Erva can be contacted via phone (718) 360-7472.

Contact Information

Primary practice address
18511 Highlander Medics St Fort Bliss TX 79906-5327
Phone: (718) 360-7472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 205-LD Hawaii
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1072186

Profile Details

NPI number 1962032045
LBN Legal business name Santoso, Erva
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2020
Last updated Jul 29th, 2025 - about last year

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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