Individual
ISNINO SALAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
4856 INNOVATION DR, STE B, FORT COLLINS, CO 80525-5540
(970) 494-4200
(970) 613-4475
Mailing address
4856 INNOVATION DR, STE B, FORT COLLINS, CO 80525-5540
(970) 494-4200
(970) 613-4475
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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