Individual
MELANIE MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 CALDWELL AVE, LOS GATOS, CA 95032-5401
(408) 806-8117
Mailing address
208 CALDWELL AVE, LOS GATOS, CA 95032
(408) 806-8117
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345
HEALTH
CA
01
—
12345
HEALTH
—
Enumeration date
09/19/2019
Last updated
09/19/2019
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