Provider Demographics
NPI:1649398355
Name:SALANOA, JEAN MARIE
Entity Type:Individual
Prefix:MS
First Name:JEAN MARIE
Middle Name:
Last Name:SALANOA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JEAN MARIE
Other - Middle Name:
Other - Last Name:ARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8761 CLAY GLEN WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-6752
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8761 CLAY GLEN WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-6752
Practice Address - Country:US
Practice Address - Phone:916-747-1887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator