Provider Demographics
NPI:1609933407
Name:SALVATORE, ALEYDA M (RN)
Entity type:Individual
Prefix:MRS
First Name:ALEYDA
Middle Name:M
Last Name:SALVATORE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ALEYDA
Other - Middle Name:M
Other - Last Name:MUNOZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2988 KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-4651
Mailing Address - Country:US
Mailing Address - Phone:925-676-2052
Mailing Address - Fax:
Practice Address - Street 1:355 TUOLUMNE ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-5700
Practice Address - Country:US
Practice Address - Phone:707-553-5593
Practice Address - Fax:707-553-5649
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA557318163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA557318OtherRN