Individual
FANNY SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1900 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2725
(323) 277-7678
(323) 277-7686
Mailing address
1900 E SLAUSON AVE, HUNTINGTON PARK, CA 90255-2725
(323) 277-7678
(323) 277-7686
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95161413
CA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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