Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 3825 | MN |
NPI | 1447309547 |
---|---|
Provider Name | Dr. Candace Salmi |
First Address | Saint Paul, MN 55104-5265 |
Second Address | Saint Paul, MN 55104-5265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 08/07/2007 |