Provider Demographics
NPI:1518739101
Name:SALAZAR, MARY HELEN (LVN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:HELEN
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:587 GROVELAND AVE W
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-8939
Mailing Address - Country:US
Mailing Address - Phone:559-273-5788
Mailing Address - Fax:
Practice Address - Street 1:587 GROVELAND AVE W
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93636-8939
Practice Address - Country:US
Practice Address - Phone:559-273-5788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-26
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider