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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
MARIA VVCTORIA T SALCEDO NP (PRESIDENT/CEO)
(909) 565-8384
Entity
Organization
Contact information
Practice address
275 W HOSPITALITY LN STE 103A, SAN BERNARDINO, CA 92408-3238
(909) 565-8384
(909) 575-6200
Mailing address
275 W HOSPITALITY LN STE 103A, SAN BERNARDINO, CA 92408-3238
(909) 565-8384
(909) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21506
CA
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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