Individual
MELLONEE LARUTH MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAVIS
Contact information
Practice address
1595 S 1ST AVE, YUMA, AZ 85364-4706
(928) 329-5855
Mailing address
6530 E 33RD ST, YUMA, AZ 85365-8395
(928) 329-5855
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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