LUIS B SALAS GORGONI

RIALTO, CA
NPI1750805669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  782313)
Enumeration Date2017-08-01
Last Update Date2018-09-07
Business Address
LUIS B SALAS GORGONI
1851 N RIVERSIDE AVE
RIALTO, CA 92376
Phone number: 909-421-2700
Mailing Address
LUIS B SALAS GORGONI
PO BOX 12209
SAN BERNARDINO, CA 92423-2209
Phone number: 909-335-4188