Carranza, Melissa Anne

Carranza, Melissa Anne is an sole proprietor health care provider with primary practice located at 1400 N Norma St Ste 133 , Ridgecrest CA 93555-2577. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Carranza, Melissa Anne can be contacted via phone (760) 499-7406.

Contact Information

Primary practice address
1400 N Norma St Ste 133 Ridgecrest CA 93555-2577
Fax: (760) 499-9259
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1043808918
LBN Legal business name Carranza, Melissa Anne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2021
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043808918 NPPES
California Other D2134804 DRIVERS LICENSE

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