Individual
JEANETTE SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPA
Contact information
Practice address
511 N HOLLYWOOD WAY, BURBANK, CA 91505-3406
(818) 841-0710
(818) 347-4257
Mailing address
2261 MARKET ST STE 10011, SAN FRANCISCO, CA 94114-1612
(909) 743-5915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
464627
CA
363LF0000X
Family Nurse Practitioner
464627
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
11310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
952662606
GRP TAX ID #
CA
Enumeration date
08/16/2006
Last updated
11/27/2024
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