Individual
MELISSA JOSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 S SOTO ST, VERNON, CA 90058-1718
(323) 585-7162
Mailing address
3851 S SOTO ST, VERNON, CA 90058-1718
(323) 585-7162
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9808
CA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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