Individual
MELODEE LUBAG MILLARE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
73 W MARCH LN, SUITE A, STOCKTON, CA 95207-5726
(209) 957-5888
Mailing address
10326 TANK HOUSE DR, STOCKTON, CA 95209-4337
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17732
CA
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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