Individual
MRS. MELISSA ANN TEOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
255 TERRACIHA BLVD SUITE 101A, REDLANDS, CA 92373
(909) 748-6569
(909) 307-1231
Mailing address
19374 SOUTHAMPTON DR, LIVONIA, MI 48152-4106
(248) 345-1654
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601007346
MI
Other
Enumeration date
04/30/2015
Last updated
08/07/2019
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