Individual
MELANIE-BELLE BALLESTEROS ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 336-3213
(928) 336-3215
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63715
AZ
208M00000X
Hospitalist Physician
Primary
63715
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D7586375
DRIVER'S LICENSE
CA
Enumeration date
04/04/2019
Last updated
07/18/2022
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