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NPI Code Detail

MEDICARE: MS. MELISSA ANNE PEDROZO EAMP, LAC

MEDICARE:  MS. MELISSA ANNE PEDROZO  EAMP, LAC
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
1171100000XAcupuncturistAC60979180WA

General Provider Information

NPI Number : 1699329037
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA ANNE PEDROZO EAMP, LAC
Provider Business Mailing Address
First Line : PO BOX 820
Second Line :
City : TACOMA
State : WA
Zip : 98401-0820
Country : US
Telephone Number : 253-905-5848
Fax Number :
Provider Business Practice Location Address
First Line : 1944 PACIFIC AVE STE 301A
Second Line :
City : TACOMA
State : WA
Zip : 98402-3121
Country : US
Telephone Number : 253-905-5848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2019
Last Update Date : 07/24/2019

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Directions to “ MS. MELISSA ANNE PEDROZO EAMP, LAC” Practice Location

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