Individual
MISS MELANIE JOANN LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
707 14TH ST, MODESTO, CA 95354-2506
(209) 525-7432
(209) 525-6034
Mailing address
5410 TEIXEIRA DR, STOCKTON, CA 95215-1108
(209) 931-6990
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
681688
CA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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