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Individual

DR. ELLENITA BRIDGET SALKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1650 HOSPITAL DR STE 300, SANTA FE, NM 87505-4770
(505) 629-3116
Mailing address
1650 HOSPITAL DR STE 300, SANTA FE, NM 87505-4770
(505) 629-3116

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1599
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1599
STATE LICENSE
NM
01
346800304
PTAN
NM
Enumeration date
09/13/2007
Last updated
05/23/2023
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