Individual
MELISSA G MCAUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
992 W IDAHO AVE, ONTARIO, OR 97914-2111
(801) 920-0510
Mailing address
2095 SW 6TH AVE, ONTARIO, OR 97914-3147
(801) 920-0510
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/24/2024
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