Individual
MARY KATHARINE SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
4501 SAND CREEK RD, ANTIOCH, CA 94531-8687
(925) 813-6534
Mailing address
524 COCONUT PL, BRENTWOOD, CA 94513-1994
(925) 642-1260
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
4872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4872
CALIFORNIA BRN
CA
Enumeration date
08/25/2020
Last updated
11/23/2021
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