Individual
MELISSA KATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18111 NORDHOFF ST, NORTHRIDGE, CA 91330-0001
(818) 677-7516
Mailing address
10025 DE SOTO AVE APT 250, CHATSWORTH, CA 91311-3140
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
2000029512
CA
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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