Individual
MRS. MELANIE BETH QUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
81 W SAN JOSE AVE, CLOVIS, CA 93612-2460
(559) 394-8248
Mailing address
81 W SAN JOSE AVE, CLOVIS, CA 93612-2460
(559) 394-8248
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
61629
CA
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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