Individual
JAZMIN SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(951) 643-2340
Mailing address
PO BOX 3071, ONTARIO, CA 91761-0908
(626) 923-7759
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132524
CA
Other
Enumeration date
07/16/2022
Last updated
08/19/2025
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