Individual
MONTANA KAYE MELLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
27930 CABOT RD UNIT 306, LAGUNA NIGUEL, CA 92677-1223
(480) 622-3372
Mailing address
27930 CABOT RD UNIT 306, LAGUNA NIGUEL, CA 92677-1223
(480) 622-3372
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
95223517
CA
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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