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NPI Code Detail

MEDICARE: MELISSA JOSON

MEDICARE: MELISSA JOSON
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
1225200000XPhysical Therapy Assistant9808CA

General Provider Information

NPI Number : 1649522517
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA JOSON
Provider Business Mailing Address
First Line : 3851 S SOTO ST
Second Line :
City : VERNON
State : CA
Zip : 90058-1718
Country : US
Telephone Number : 323-585-7162
Fax Number :
Provider Business Practice Location Address
First Line : 3851 S SOTO ST
Second Line :
City : VERNON
State : CA
Zip : 90058-1718
Country : US
Telephone Number : 323-585-7162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2012
Last Update Date : 10/02/2012

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Directions to “ MELISSA JOSON ” Practice Location

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