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Melissa Nicole Miller

Community Health Worker in San Leandro, CA. Individual provider (NPI-1).

NPI number1194200428
StatusActive
Last updated in NPPESOct 9, 2018

Details

NPI
1194200428
Entity type
Individual (NPI-1)
Name
Melissa Nicole Miller
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2018
Last updated
Oct 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
101Y00000X Counselor––

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-317-1444

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-317-1444

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