Individual
JOHN LE ROY MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
509 S MYRTLE AVE, MONROVIA, CA 91016-2813
(626) 303-2030
(626) 303-2190
Mailing address
509 S MYRTLE AVE, MONROVIA, CA 91016-2813
(626) 303-2030
(626) 303-2190
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
000272
AZ
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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