Melissa Amber Carrera, CPT1
Public Health or Welfare in San Diego, CA. Individual provider (NPI-1).
NPI number1053003244
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1053003244
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Melissa Amber Carrera
- Credential
- CPT1
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2023
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251K00000X | Public Health or Welfare | CPT-01006161 | CA | Yes |
Practice location
5055 Ruffin RdSan Diego, CA 92123-1617
Phone 805-701-3329
Mailing address
5055 Ruffin RdSan Diego, CA 92123-1617
Phone 805-701-3329
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