Individual
GARY MELVIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22245 MAIN ST, HAYWARD, CA 94541-4028
(510) 727-9401
Mailing address
311 MCDANIEL CIR, SACRAMENTO, CA 95838-5002
(510) 435-8492
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/03/2016
Last updated
12/03/2016
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