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Individual

MARIA GUADALUPE SALCEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
241 E LAKE AVE, WATSONVILLE, CA 95076-4717
(831) 688-8856
Mailing address
241 E LAKE AVE, WATSONVILLE, CA 95076-4717
(831) 688-8856

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
372600000X
Adult Companion
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ920692Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
04/13/2007
Last updated
04/23/2026
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