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Melissa Andrea Barraza

NPI Registration Record

Provider / OrganizationNPIDate Certified
MELISSA ANDREA BARRAZA11549489092020-06-27
Entity TypeIndividual
Provider Name Melissa Andrea Barraza MSW
Practice Office Address3924 RIVERVIEW DR
JURUPA VALLEY, CA US
Practice Office Telephone9513604175
Mailing Address10050 FOX ST
RIVERSIDE, CA 925035420 US
Business Telephone5626569531
HPT Codes
CodeLicense NoState
1041S0200X
101YM0800X PRIMARY
OPI Codes

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