Individual
ANGELA MARIA SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, IBCLC
Contact information
Practice address
6550 WETHEROLE ST APT 3D, REGO PARK, NY 11374-4716
(718) 309-8036
Mailing address
PO BOX 750537, FOREST HILLS, NY 11375-0537
(718) 309-8036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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