Individual
DAVID SALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
301 VICTORIA ST, COSTA MESA, CA 92627-1995
(949) 642-2734
Mailing address
9076 HERON AVE, FOUNTAIN VALLEY, CA 92708-6416
(714) 420-6830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95187341
CA
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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