Individual
MELODY RUTH ANNA HAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
1075 E SANTA CLARA ST, SAN JOSE, CA 95116-2244
(669) 288-8469
(408) 792-2158
Mailing address
1075 E SANTA CLARA ST, SAN JOSE, CA 95116-2244
(669) 288-8469
(408) 792-2158
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
HZXDJFTYRQGWUACM
CA
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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