Individual
MELANIE BLAIR-DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.
Contact information
Practice address
320 E BONITA AVE, POMONA, CA 91767-1926
(909) 621-1180
(909) 624-1650
Mailing address
320 E BONITA AVE, POMONA, CA 91767-1926
(909) 621-1180
(909) 624-1650
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO003166
CA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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