Individual
RENEE SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
982860759
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L123493
—
CO
Enumeration date
03/18/2017
Last updated
03/18/2017
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