Individual
MELISSA S HOUSEHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4722 CEDAR AVE, YORBA LINDA, CA 92886-2534
(714) 920-2535
Mailing address
4722 CEDAR AVE, YORBA LINDA, CA 92886-2534
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
4714
NV
225700000X
Massage Therapist
Primary
9207
CA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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