Provider Demographics
NPI:1083288211
Name:SALVADOR, DOHN VALONES (RN)
Entity Type:Individual
Prefix:MR
First Name:DOHN
Middle Name:VALONES
Last Name:SALVADOR
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:DOHN
Other - Middle Name:VALONES
Other - Last Name:SALVADOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:4941 GEORGIA ST
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-8130
Mailing Address - Country:US
Mailing Address - Phone:510-426-2187
Mailing Address - Fax:
Practice Address - Street 1:4941 GEORGIA ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-8130
Practice Address - Country:US
Practice Address - Phone:510-224-6556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI97768163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty