Individual
JUAN GERARDO CASAS SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 540-6500
(805) 540-6501
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 540-6500
(805) 540-6501
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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