Individual
MELISSA CHUBBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 E 31ST ST, 2ND FL A2, OAKLAND, CA 94602-1018
(510) 437-5039
(510) 535-7313
Mailing address
1411 E 31ST ST, 2ND FL A2, OAKLAND, CA 94602-1018
(510) 437-5039
(510) 535-7313
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD61054939
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2016
Last updated
09/17/2020
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