Individual
WALTER ALEXANDER SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
654 NE 9TH PL, HOMESTEAD, FL 33030-4934
(305) 397-6872
Mailing address
4461 SW 4THST, HOMESTEAD, FL 33032
(786) 580-2111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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