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Individual

MELISSA VIANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18800 AMAR RD STE B5, WALNUT, CA 91789-7100
(909) 675-7017
Mailing address
2750 ASSOCIATED RD APT D100, FULLERTON, CA 92835-2973

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT26479
CA

Other

Enumeration date
11/19/2024
Last updated
11/19/2024
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