Individual
MELINA MADRIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 2ND ST, SUITE 104, SAN RAFAEL, CA 94901-2712
(415) 459-2395
Mailing address
1601 2ND ST, SUITE 104, SAN RAFAEL, CA 94901-2712
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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