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Individual

BERTHA MELENDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1234 W CHAPMAN AVE STE 205, ORANGE, CA 92868-2863
(714) 639-1815
Mailing address
4437 OWENS ST UNIT 105, CORONA, CA 92883-7396
(714) 262-3596

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95016742
CA

Other

Enumeration date
05/24/2021
Last updated
10/01/2021
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