Organization
MELON HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STORMIE S BAXTER CDCES (PROGRAM DIRECTOR)
(720) 642-0459
Entity
Organization
Contact information
Practice address
624 24TH ST, HERMOSA BEACH, CA 90254-2206
(720) 642-0459
Mailing address
624 24TH ST, HERMOSA BEACH, CA 90254-2206
(720) 642-0459
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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