Individual
MELITZA MEJIA-CENTENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
(801) 585-0187
Mailing address
1652 W 800 S, SALT LAKE CITY, UT 84104-3112
(623) 205-5972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA68368
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2020
Last updated
05/28/2026
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