Individual
MICHELLE MELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1819
(909) 580-1000
Mailing address
400 N. PEPPER AVENUE STE. 206 MOB, COLTON, CA 92324
(626) 524-0012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1565
CA
Other
Enumeration date
03/15/2018
Last updated
10/28/2020
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