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Organization
TRISTAR HOME VISIT PROVIDERS INC
Active
Organization
TRISTAR HOME VISIT PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA VICTORIA T SALCEDO NP (PRESIDENT)
(909) 565-8384
Entity
Organization
Contact information
Practice address
26593 AZALEA ST, MORENO VALLEY, CA 92555-3526
(909) 565-8384
Mailing address
26593 AZALEA ST, MORENO VALLEY, CA 92555-3526
(909) 565-8384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21506
CA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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