Provider Demographics
NPI:1447800909
Name:WEEKS, MELODY ANN
Entity Type:Individual
Prefix:MRS
First Name:MELODY
Middle Name:ANN
Last Name:WEEKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 C ST APT 203
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-1061
Mailing Address - Country:US
Mailing Address - Phone:619-213-8286
Mailing Address - Fax:
Practice Address - Street 1:324 C ST APT 203
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-1061
Practice Address - Country:US
Practice Address - Phone:619-213-8286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider