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Individual
DR. MARTIN JAMES MELENDREZ
Active
Individual
DR. MARTIN JAMES MELENDREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8805T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WOP8805B
PPIN
CA
01
—
WY162
GROUP ID NUMBER
CA
Enumeration date
05/22/2006
Last updated
06/27/2008
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