Individual
MS. MELEA DELISE FUTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4832 LINCOLN BLVD, MARINA DEL REY, CA 90292-6917
(310) 821-7658
Mailing address
5641 S SHERBOURNE DR, LOS ANGELES, CA 90056-1318
(310) 710-0252
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19291
CA
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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