Individual
KERRY MELACHOURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN PMHNP STUDENT
Contact information
Practice address
30862 LA MER, LAGUNA NIGUEL, CA 92677-5511
(949) 697-0960
Mailing address
30862 LA MER, LAGUNA NIGUEL, CA 92677-5511
(949) 697-0960
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
698539
CA
Other
Enumeration date
04/21/2022
Last updated
08/01/2024
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