Individual
DORANELI SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8986 TERRACORVO CIR, STOCKTON, CA 95212-3831
(209) 663-3455
Mailing address
8986 TERRACORVO CIR, STOCKTON, CA 95212-3831
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN253569
CA
Other
Enumeration date
12/06/2010
Last updated
05/24/2013
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