Doctor Name: | MRS. PORTIA SALVO SAUCELO |
NPI Number: | 1043275415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN500372 |
Business Practice Address: | 150 Muir Rd Martinez, CA - 945534668 |
Business Phone Number: | 9253722000 |
Business Fax Number: | |
Mailing Address: | 150 Muir Rd, MARTINEZ |
State: | CA |
Postal Code: | 945534668 |
Phone Number: | 9253722000 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0600X |
License Number: | RN500372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |