Individual
MS. MELISSA ANN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 N E ST, SAN BERNARDINO, CA 92401-1921
(909) 884-6677
(909) 884-9496
Mailing address
331 CAJON ST, APT B, REDLANDS, CA 92373-5964
(909) 496-2978
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0561780
CA
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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