Individual
BRENDA SALAS-AMIGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
391 N SAN JACINTO ST, DR. HERMAN MATHIAS AND ASSOCIATES, HEMET, CA 92543-3118
(951) 929-6003
Mailing address
31924 DEERBERRY LN, MURRIETA, CA 92563-3565
(973) 224-7544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21833
CA
363LF0000X
Family Nurse Practitioner
Primary
26NJ00368300
NJ
Other
Enumeration date
03/12/2012
Last updated
01/19/2017
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