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Individual

DR. JAMES DALE MELLEMA SR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
812 POLLARD RD, SUITE 1, LOS GATOS, CA 95032-1420
(408) 374-1212
(408) 374-4160
Mailing address
812 POLLARD RD, SUITE 1, LOS GATOS, CA 95032-1420
(408) 374-1212
(408) 374-4160

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AO22280
CA

Other

Enumeration date
06/05/2006
Last updated
07/08/2007
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