Provider Demographics
NPI:1174954788
Name:SALAKO, FAITH N (MS)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:N
Last Name:SALAKO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:N
Other - Last Name:KIMUNU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:6895 GREENLEAF DR
Mailing Address - Street 2:APT C2
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2266
Mailing Address - Country:US
Mailing Address - Phone:614-596-8593
Mailing Address - Fax:
Practice Address - Street 1:6895 GREENLEAF DR
Practice Address - Street 2:APT C2
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2266
Practice Address - Country:US
Practice Address - Phone:614-596-8593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide