Most Relevant Information
Provider Data
| NPI Number: | 1003283912 |
| Provider Name: | MICHELLE MECCA |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2015 |
| Last Updated: | 08/05/2018 |
Provider Practice Location
1075 E SANTA CLARA ST
SAN JOSE
CA
95116
Practice Location Phone/Fax
| Phone: | 9257190055 |
| Fax: |
Provider Mailing Location
1075 E SANTA CLARA ST
SAN JOSE
CA
951162244
Provider Mailing Phone/Fax
| Phone: | 9257190055 |
| Fax: |