Individual
AZALEA SALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14500 JUANITA DR NE, KENMORE, WA 98028-4966
(813) 588-1501
Mailing address
14500 JUANITA DR NE, KENMORE, WA 98028-4966
(813) 588-1501
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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