Provider Demographics
NPI:1417102955
Name:SALINDA, MARITES GARMA
Entity Type:Individual
Prefix:
First Name:MARITES
Middle Name:GARMA
Last Name:SALINDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2446 BOLKER DR
Mailing Address - Street 2:
Mailing Address - City:PORT HUENEME
Mailing Address - State:CA
Mailing Address - Zip Code:93041-1705
Mailing Address - Country:US
Mailing Address - Phone:805-824-2421
Mailing Address - Fax:
Practice Address - Street 1:2446 BOLKER DR
Practice Address - Street 2:
Practice Address - City:PORT HUENEME
Practice Address - State:CA
Practice Address - Zip Code:93041-1705
Practice Address - Country:US
Practice Address - Phone:805-824-2421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN215426164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse