Healthcare Provider Details

I. General information

NPI: 1538613773
Provider Name (Legal Business Name): VERONICA SALAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2016
Last Update Date: 08/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W GABILAN ST
SALINAS CA
93901-2762
US

IV. Provider business mailing address

1649 MADRID ST APT 14
SALINAS CA
93906-8444
US

V. Phone/Fax

Practice location:
  • Phone: 831-771-8555
  • Fax:
Mailing address:
  • Phone: 831-595-0717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: