Individual
AMANDA MELCHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
(323) 629-0388
Mailing address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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