Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 497721 | CA |
NPI | 1023271483 |
---|---|
Provider Name | Ms. Joanie Ilene Salotti |
First Address | San Diego, CA 92103-8707 |
Second Address | San Diego, CA 92103-8707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 07/07/2008 |