Individual
JESSE S MELLEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16561 BOLSA CHICA ST STE 100, HUNTINGTON BEACH, CA 92649-3594
(714) 364-1313
Mailing address
16681 LYNN LN APT A, HUNTINGTON BEACH, CA 92649-3461
(714) 334-6685
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
307646
CA
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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