Individual
ELOISA LIZETT MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8131 LEMON AVE APT 3, LA MESA, CA 91941-6451
(760) 990-3462
Mailing address
8131 LEMON AVE APT 3, LA MESA, CA 91941-6451
(760) 990-3462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95182745
CA
Other
Enumeration date
12/22/2018
Last updated
12/22/2018
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