| NPI | 1821581141 |
|---|---|
| Former Name | JENEFER CARLITO SALERA GASTANES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NY F342291-1) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CT 13694) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2024-09-30 |