Individual
BENIGNO ANTONIO SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1734 N. RIVERSIDE AVE., SUITE 6, RIALTO, CA 92376
(909) 873-8188
(909) 873-9871
Mailing address
PO BOX 725, RIALTO, CA 92377-0725
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
20380
CA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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