Provider Demographics
NPI:1629276787
Name:SALCIDO, JENNIFER IRENE (ND)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:IRENE
Last Name:SALCIDO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 STATE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3330
Mailing Address - Country:US
Mailing Address - Phone:805-245-2032
Mailing Address - Fax:844-789-6924
Practice Address - Street 1:3015 STATE ST
Practice Address - Street 2:SUITE A
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3330
Practice Address - Country:US
Practice Address - Phone:805-245-2032
Practice Address - Fax:844-789-6924
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND394175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath