Provider Demographics
NPI:1508199779
Name:GILES, MELODY DAWN
Entity Type:Individual
Prefix:MRS
First Name:MELODY
Middle Name:DAWN
Last Name:GILES
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 1:6249 SKYWAY
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-4534
Mailing Address - Country:US
Mailing Address - Phone:530-872-3896
Mailing Address - Fax:530-872-7784
Practice Address - Street 1:6249 SKYWAY
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-4534
Practice Address - Country:US
Practice Address - Phone:530-872-3896
Practice Address - Fax:530-872-7784
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor