Individual
JESSICA MARIA SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 MARENGO ST # C4J100, LOS ANGELES, CA 90033-1352
(323) 409-7469
Mailing address
2051 MARENGO ST # C4J100, LOS ANGELES, CA 90033-1352
(323) 409-7469
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95086022
CA
363L00000X
Nurse Practitioner
Primary
95017354
CA
Other
Enumeration date
02/20/2021
Last updated
02/13/2023
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