Individual
JENIVA SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA & BS
Contact information
Practice address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6037
(818) 781-0360
Mailing address
410 S OGDEN DR, LOS ANGELES, CA 90036-3121
(805) 501-2376
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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