Individual
MELANIE TAVASIEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1735 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-3718
(530) 318-5450
Mailing address
1442 MOUNT DIABLO CIR, SOUTH LAKE TAHOE, CA 96150-5531
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
747129
CA
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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