Individual
MELODY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 CLARK RD SPC 16B, BUTTE VALLEY, CA 95965-9140
(775) 217-2609
Mailing address
4575 TARZYN RD, FALLON, NV 89406-9488
(775) 217-2609
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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