Individual
DIANNE MARGARET MELICOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9929 ARLETA AVE, ARLETA, CA 91331-4503
(323) 286-2549
Mailing address
9929 ARLETA AVE, ARLETA, CA 91331-4503
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
732614
CA
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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