Individual
MELISSA J BOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 FRONT ST, SANTA CRUZ, CA 95060-4402
(831) 427-3387
Mailing address
126 FRONT ST, SANTA CRUZ, CA 95060-4402
(831) 427-3387
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
04/14/2025
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