=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003753245
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MELISSA MARIE GUERRA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2026
-----------------------------------------------------
Last Update Date | 05/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 58471 TWENTY-NINE PALMS HWY SUITE 102
-----------------------------------------------------
City | YUCCA VALLEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92284
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-853-4755
-----------------------------------------------------
Fax | 760-418-2201
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 58471 TWENTY-NINE PALMS HWY SUITE 102
-----------------------------------------------------
City | YUCCA VALLEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92284
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-853-4755
-----------------------------------------------------
Fax | 760-418-2201
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 372600000X
-----------------------------------------------------
Taxonomy Name | Adult Companion
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------