Individual
CHRISTIAN MELONAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111
(801) 428-4257
Mailing address
1331 W 4505 S, TAYLORSVILLE, UT 84123-3225
(801) 419-1341
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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