Individual
DR. MELLODY ROXXANNA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
513 PARNASSUS AVE, RM. S436, SAN FRANCISCO, CA 94143-2205
(415) 562-7910
Mailing address
513 PARNASSUS AVE, RM. S436, SAN FRANCISCO, CA 94143-2205
(415) 562-7910
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A122763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A122763
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
10/15/2012
Last updated
04/02/2014
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