Most Relevant Information
Provider Data
| NPI Number: | 1003586835 |
| Provider Name: | MAYRA MELGOZA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 87724 |
Most Important Dates
| Enumeration Date: | 09/14/2021 |
| Last Updated: | 02/22/2022 |
Provider Practice Location
1300 W FLORIDA AVE STE B
HEMET
CA
925434628
Practice Location Phone/Fax
| Phone: | 9516587122 |
| Fax: |
Provider Mailing Location
1300 W FLORIDA AVE STE B
HEMET
CA
925434628
Provider Mailing Phone/Fax
| Phone: | 9516587122 |
| Fax: |