Individual
MELODY G. MITCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
23321 EL TORO RD STE G, SOCPA, LAKE FOREST, CA 92630-4825
(949) 770-0513
(949) 770-2941
Mailing address
23321 EL TORO RD, SOCPA, LAKE FOREST, CA 92630-4825
(949) 770-0711
(949) 770-2941
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
6754
CA
Other
Enumeration date
02/16/2007
Last updated
01/22/2008
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