Individual
MS. TAMARA LYNN MELLOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5240 ALUM ROCK AVE, SAN JOSE, CA 95127-2505
(707) 357-6146
Mailing address
5240 ALUM ROCK AVE, SAN JOSE, CA 95127-2505
(707) 357-6146
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
87654
CA
Other
Enumeration date
05/21/2022
Last updated
05/21/2022
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