Caron Ivy Mellblom M.S.

NPI 1528344181 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1528344181
Gender Female
Enumeration Date 10/27/2011
Last Updated 10/27/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
928 FINNELL WAY
PLACENTIA CA, 92870-4445, US
Phone (714) 402-8415
Fax
Business Location
928 FINNELL WAY
PLACENTIA CA, 92870-4445, US
Phone (714) 402-8415
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State California
License Number 110093972
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According to our database, Caron Ivy Mellblom M.S. NPI is 1528344181, taxonomy code is 235Z00000X and license number is 110093972, license state is located at California. Caron Ivy Mellblom M.S. physically located at 928 Finnell Way, Placentia CA, 92870-4445. NPI Number Caron Ivy Mellblom M.S. has the Individual type.

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1528344181 NPI number is provided on an as is basis without warranty of any kind. 1528344181 is maintained by the National Plan & Provider Enumeration System. The contents of Caron Ivy Mellblom M.S. are for informational purposes only.