Individual
MELISSA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 N H ST STE G, LOMPOC, CA 93436-2831
(805) 588-3131
Mailing address
1512 N H ST STE G, LOMPOC, CA 93436-2831
(805) 588-3131
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
D2188143
CA
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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