Individual provider · Type 1 NPI
Relyndo Manalo Salcedo, NURSE PRACTITIONER
Primary Care Nurse Practitioner · Fontana, CA
NPI number
1649580630
Active · reactivated Jun 12, 2023
Practice location
6742 Tokay Ave
Fontana, CA 92336
Mailing address
974 W Foothill Blvd
Upland, CA 91786-3728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 645654 (CA) |
| Family Nurse Practitioner | 363LF0000X | 21547 (CA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 21547 (CA) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Fontana
About NPI 1649580630
Relyndo Manalo Salcedo, NURSE PRACTITIONER's National Provider Identifier is 1649580630, issued on Oct 8, 2010. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fontana, CA. The record was last updated on Jun 12, 2023.