Provider Demographics
NPI:1326737248
Name:SANTOS, MELANIE ALLAM (LAC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:ALLAM
Last Name:SANTOS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:SANTOS
Other - Last Name:CANCIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 WILSON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7885
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:505 E ROMIE LN STE F
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4031
Practice Address - Country:US
Practice Address - Phone:831-676-0210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist