Individual
MRS. ESLY XIOMARA SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6602 N 75TH AVE, GLENDALE, AZ 85303-3504
(623) 435-6103
Mailing address
6602 N 75TH AVE, GLENDALE, AZ 85303-3504
(623) 435-6103
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP041711
AZ
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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