Individual
NANCY MELGOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2008 IMPERIAL AVE, DAVIS, CA 95616-3161
(530) 400-9134
Mailing address
2008 IMPERIAL AVE, DAVIS, CA 95616-3161
(530) 400-9134
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48019
CA
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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