Provider Demographics
NPI:1629545447
Name:SALINAS, KIMBERLY VERONICA
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:VERONICA
Last Name:SALINAS
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 1:18920 OLD BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:CA
Mailing Address - Zip Code:95327-9152
Mailing Address - Country:US
Mailing Address - Phone:209-635-0054
Mailing Address - Fax:
Practice Address - Street 1:18920 OLD BRIDGE RD
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:CA
Practice Address - Zip Code:95327-9152
Practice Address - Country:US
Practice Address - Phone:209-635-0054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)