Jeremy Johnny Salazar

NPI #1790231249 in Abiquiu, New Mexico

Provider Information

NPI Number: 1790231249
Entity Type: Individual
Name: Jeremy Johnny Salazar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 25, 2016
Last Updated: Aug 25, 2016

Practice Location

Address: 21230 HWY 84
City: Abiquiu
State: New Mexico
ZIP Code: 87510
Phone: (505) 927-9890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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