Individual
MISS MELISSA B. MONTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6060 N PARAMOUNT BLVD, LONG BEACH, CA 90805-3711
(562) 634-9534
Mailing address
14416 ARANZA DR, LA MIRADA, CA 90638-4011
(310) 988-5779
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
794557
CA
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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