Individual
TAMARA MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
516 N KAWEAH AVE, EXETER, CA 93221-1200
(559) 594-4969
(559) 594-4308
Mailing address
516 N KAWEAH AVE, EXETER, CA 93221-1200
(559) 594-4969
(559) 594-4308
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT27854
CA
Other
Enumeration date
02/13/2007
Last updated
07/12/2011
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