Individual
MRS. MELISSA AMBER CARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT1
Contact information
Practice address
5055 RUFFIN RD, SAN DIEGO, CA 92123-1617
(805) 701-3329
Mailing address
5055 RUFFIN RD, SAN DIEGO, CA 92123-1617
(805) 701-3329
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
CPT-01006161
CA
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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