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Kevin Giovanni Salas

Peer Specialist in Indio, CA. Individual provider (NPI-1).

NPI number1710693379
StatusActive
Last updated in NPPESJan 26, 2023

Details

NPI
1710693379
Entity type
Individual (NPI-1)
Name
Kevin Giovanni Salas
Sex
Male
Sole proprietor
No
Enumeration date
Jan 26, 2023
Certification date
Jan 26, 2023
Last updated
Jan 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

44199 Monroe St Ste B
Indio, CA 92201-3094

Phone 760-863-2500

Mailing address

44199 Monroe St Ste B
Indio, CA 92201-3094

Phone 760-863-2500

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