Individual
MELISSA GBENEKAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
140 SYLVESTER RD BLDG 500, SAN DIEGO, CA 92106-3521
(619) 553-5852
Mailing address
23142 STOKES RD, RAMONA, CA 92065-5582
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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