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Individual

DR. MELANIE C. NICOLE IRWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1010 W. LAVETA AVE, SUITE 710, ORANGE, CA 92868
(714) 835-2724
(714) 835-2751
Mailing address
1010 W. LAVETA AVE, SUITE 710, ORANGE, CA 92868
(714) 835-2724
(714) 835-2751

Taxonomy

Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
A99872
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029906261L
HUMANA
05
34567000
WI
Enumeration date
05/15/2006
Last updated
01/03/2014
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