Individual
DR. RELYNDO MANALO SALCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
6742 TOKAY AVE, FONTANA, CA 92336
(909) 471-6138
Mailing address
974 W FOOTHILL BLVD, UPLAND, CA 91786-3728
(909) 471-6138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
645654
CA
363LF0000X
Family Nurse Practitioner
21547
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
21547
CA
Other
Enumeration date
10/08/2010
Last updated
06/12/2023
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