Individual
GABRIEL ANDRE MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(801) 587-7672
Mailing address
12582 N TIMBER RIDGE LN, HIGHLAND, UT 84003-8922
(801) 616-8216
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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