Individual
LUIS SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 5TH ST SE STE 2300, PUYALLUP, WA 98372-4692
(253) 697-2539
Mailing address
810 S MACARTHUR ST, TACOMA, WA 98465-1822
(516) 287-4529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61569270
WA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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