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Individual

ROBERT JOSEPH MELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CST

Contact information

Practice address
3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-2000
Mailing address
520 E FLORENCE AVE, LA HABRA, CA 90631-4741
(714) 767-1583

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
154337
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
154337
NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
CA
Enumeration date
06/20/2020
Last updated
06/20/2020
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