Individual
DR. MELISSA DEFOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
5 KELLER ST STE A-7, PETALUMA, CA 94952-2349
(707) 782-6500
Mailing address
5 KELLER ST STE A-7, PETALUMA, CA 94952-2349
(707) 782-6500
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND716
CA
Other
Enumeration date
03/13/2008
Last updated
03/17/2015
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