Most Relevant Information
Provider Data
| NPI Number: | 1003204447 |
| Provider Name: | MELISSA JARVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2015 |
| Last Updated: | 06/07/2016 |
Provider Practice Location
350 E GOBBI ST
UKIAH
CA
954825511
Practice Location Phone/Fax
| Phone: | 7074722922 |
| Fax: |
Provider Mailing Location
PO BOX 2077
UKIAH
CA
954822077
Provider Mailing Phone/Fax
| Phone: | 7074722922 |
| Fax: |