Most Relevant Information
Provider Data
| NPI Number: | 1003468737 |
| Provider Name: | ILIANA SALAS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/12/2019 |
| Last Updated: | 07/12/2019 |
Provider Practice Location
2901 MEADOW LARK DR
SAN DIEGO
CA
921232711
Practice Location Phone/Fax
| Phone: | 6192218600 |
| Fax: |
Provider Mailing Location
7364 EL CAJON BLVD
SAN DIEGO
CA
921151864
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |