Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 19269 | CA |
NPI | 1003952755 |
---|---|
Provider Name | Dr. Elizabeth Salazar |
First Address | Riverside, CA 92516-1337 |
Second Address | Apple Valley, CA 92307-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 29/08/2012 |