Individual
MRS. MELANIE VALMONTE LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6984101-1206
UT
Other
Enumeration date
10/21/2014
Last updated
05/08/2015
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