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NPI Code Detail

MEDICARE: CHARISSE M. SALMON

MEDICARE:   CHARISSE M. SALMON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1154627792
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARISSE M. SALMON
Provider Business Mailing Address
First Line : 2051 N TORREY PINES DR
Second Line : APT. 1024
City : LAS VEGAS
State : NV
Zip : 89108-6530
Country : US
Telephone Number : 702-429-3761
Fax Number :
Provider Business Practice Location Address
First Line : 2051 N TORREY PINES DR
Second Line : APT. 1024
City : LAS VEGAS
State : NV
Zip : 89108-6530
Country : US
Telephone Number : 702-429-3761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2011
Last Update Date : 01/30/2011

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Directions to “ CHARISSE M. SALMON ” Practice Location

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