Individual
TERESA L SALOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 E CHESTNUT AVE, NFP, ALTOONA, PA 16601-3478
(814) 942-1903
(814) 505-1100
Mailing address
5226 COLCLESSER AVE, ALTOONA, PA 16601-1032
(814) 942-5292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN230715L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015936400001
—
PA
Enumeration date
11/16/2006
Last updated
04/29/2011
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