Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC13662 | CA |
NPI | 1598737959 |
---|---|
Provider Name | Robin Michael Salser |
First Address | Hesperia, CA 92340-3366 |
Second Address | Hesperia, CA 92345-6121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 08/07/2007 |