Individual
JUDE MELONCON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2035 FAIRMONT DR, SAN LEANDRO, CA 94578-1088
(510) 346-7836
Mailing address
2035 FAIRMONT DR, SAN LEANDRO, CA 94578-1088
(510) 346-7836
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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