Healthcare Provider Details

I. General information

NPI: 1366764730
Provider Name (Legal Business Name): KATRINA SALINAS MONTI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2010
Last Update Date: 07/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13815 F STREET
JBLM WA
98433
US

IV. Provider business mailing address

13815 F STREET
JBLM WA
98433
US

V. Phone/Fax

Practice location:
  • Phone: 210-788-9125
  • Fax:
Mailing address:
  • Phone: 210-788-9125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: