Individual
ANDREA MELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
561 E LINDO AVE STE B, CHICO, CA 95926-2266
(800) 430-4490
Mailing address
935 LAKEVILLE CIR, PETALUMA, CA 94954-5744
(310) 709-1020
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/09/2023
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