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Individual

MELISSA ITSARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
901 NEVIN AVE BLDG 2, RICHMOND, CA 94801-3143
(510) 910-5120
Mailing address
901 NEVIN AVE BLDG 2, RICHMOND, CA 94801-3143

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A140042
CA
207R00000X
Internal Medicine Physician
A140042
CA

Other

Enumeration date
04/04/2014
Last updated
10/30/2024
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