Individual
MELISSA ANNE CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N NORMA ST STE 133, RIDGECREST, CA 93555-2577
(760) 499-7406
(760) 499-9259
Mailing address
833 W REEVES AVE, RIDGECREST, CA 93555-2436
(760) 382-1032
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D2134804
DRIVERS LICENSE
CA
Enumeration date
01/06/2021
Last updated
07/21/2022
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