Individual
ALYSSA MARIE MELLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1397 E 1300 S, SALT LAKE CITY, UT 84105-1942
(801) 834-4980
Mailing address
1397 E 1300 S, SALT LAKE CITY, UT 84105-1942
(801) 834-4980
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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