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Individual

DR. TERESITA LU MELOCOTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3701 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1844
(702) 388-4428
(702) 388-4312
Mailing address
3100 W CHARLESTON BLVD, SUITE 210, LAS VEGAS, NV 89102-2023
(702) 388-4428
(702) 388-4312

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9127
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002018826
NV
Enumeration date
10/11/2006
Last updated
04/19/2023
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