Individual
JACQUELYN H SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10121 PINE AVE, TRUCKEE, CA 96161
(530) 582-3220
(530) 271-1791
Mailing address
BOX 805, NEVADA CITY, CA 95959
(530) 271-1791
(530) 271-2890
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G081548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SR0090630
—
CA
Enumeration date
05/25/2007
Last updated
12/28/2012
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