Individual
MARIAFERNANDA SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 THISTLE DR APT 1912, FORT WORTH, TX 76132-3323
(817) 323-0967
Mailing address
5201 THISTLE DR APT 1912, FORT WORTH, TX 76132-3323
(817) 323-0967
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
45677984
TX
174200000X
Meals Provider
45677984
—
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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