Individual
MICHELLE MELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-4104
(505) 633-4107
Mailing address
8027 CAMILLE AVE NW, ALBUQUERQUE, NM 87120-5568
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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