Individual
ANTOINETTE SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-2623
(310) 396-6468
Mailing address
9640 BURKE ST, PICO RIVERA, CA 90660-4731
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
04/21/2025
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