Individual
MELINDA MARIE BELLOMY-MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
1050 LINDEN AVE, LONG BEACH, CA 90813
(562) 491-4844
Mailing address
5509 SUNFIELD AVE, LAKEWOOD, CA 90712-1855
(801) 547-7417
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
19904
CA
363LW0102X
Women's Health Nurse Practitioner
R 163611-4
MN
Other
Enumeration date
09/01/2005
Last updated
08/03/2018
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