Provider Demographics
NPI:1215332457
Name:FIGUEROA, MELINA JOCELYN (CPHT)
Entity type:Individual
Prefix:MRS
First Name:MELINA
Middle Name:JOCELYN
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1343
Mailing Address - Country:US
Mailing Address - Phone:415-924-6738
Mailing Address - Fax:415-924-6827
Practice Address - Street 1:570 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939-1343
Practice Address - Country:US
Practice Address - Phone:415-924-6738
Practice Address - Fax:415-924-6827
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70401183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician