Individual
MELINDA LYNN PATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
351 W 12TH ST, SAN PEDRO, CA 90731-4205
(323) 501-0179
Mailing address
351 W 12TH ST, SAN PEDRO, CA 90731-4205
(323) 501-0179
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25673
CA
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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