Individual
JACQUELYN TRISHA SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1811 W 2ND ST STE LL200, GRAND ISLAND, NE 68803-5420
(308) 382-1884
Mailing address
3604 INNATE CIR APT 304, GRAND ISLAND, NE 68803-6105
(308) 589-0371
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28135
NE
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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