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Individual
MRS. MELISSA MATTOS DE UNAMUNO
Active
Individual
MRS. MELISSA MATTOS DE UNAMUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T.L.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT6637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CT0066370
—
CA
01
—
OT0066370
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/14/2006
Last updated
02/04/2009
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