Provider Demographics
NPI:1326888314
Name:SALGADO, MONIQUE ALYSSE
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:ALYSSE
Last Name:SALGADO
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 1:8329 GARIBALDI AVE
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91775-2437
Mailing Address - Country:US
Mailing Address - Phone:323-491-8099
Mailing Address - Fax:
Practice Address - Street 1:8329 GARIBALDI AVE
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91775-2437
Practice Address - Country:US
Practice Address - Phone:323-491-8099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula