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Individual

MRS. MELANIE VALMONTE LOZANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1580 W ANTELOPE DR, SUITE 200, LAYTON, UT 84041-1160
(801) 773-4770
(801) 773-4776
Mailing address
1580 W ANTELOPE DR, SUITE 200, LAYTON, UT 84041-1160
(801) 773-4770
(801) 773-4776

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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