Provider Information for 1215330170
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LISET SALCEDO
Sex: Female
NPI: 1215330170
Last Updated: 2024-12-02
Certification Date: 2024-12-02
Certification Date: 2024-12-02
Details
Name | Value | ||||||||||||||||
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NPI | 1215330170 | ||||||||||||||||
Enumeration Date | 2014-10-06 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | PO BOX 151 UPLAND, CA 91785-0151 United States Phone: 951-212-5871 | Fax: | ||||||||||||||||
Primary Practice Address | 6296 RIVER CREST DR SUITE K RIVERSIDE, CA 92507-0742 United States Phone: 951-867-3800 | Fax:951-867-3840 | ||||||||||||||||
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