Provider Demographics
NPI:1962970764
Name:SALAFIA, RENATA (MD SPECIAL EDUCATION)
Entity type:Individual
Prefix:
First Name:RENATA
Middle Name:
Last Name:SALAFIA
Suffix:
Gender:F
Credentials:MD SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 VEGAS VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1500
Mailing Address - Country:US
Mailing Address - Phone:702-513-1332
Mailing Address - Fax:
Practice Address - Street 1:1114 VEGAS VALLEY DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1500
Practice Address - Country:US
Practice Address - Phone:702-513-1332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health