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NPI Code Detail

MEDICARE: MIA DAMELE

MEDICARE: MIA DAMELE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1578495503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIA DAMELE
Provider Business Mailing Address
First Line : 4141 N BLACKSTONE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-3808
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4141 N BLACKSTONE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-3808
Country : US
Telephone Number : 559-579-1744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ MIA DAMELE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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