Most Relevant Information
Provider Data
| NPI Number: | 1003441031 |
| Provider Name: | MELINA ANN DE LA ROSA RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133NN1002X |
| Specialty: | Nutritionist |
| License Number: | 86093831 |
Most Important Dates
| Enumeration Date: | 03/10/2020 |
| Last Updated: | 07/25/2024 |
Provider Practice Location
1414 E FLORENCE AVE
LOS ANGELES
CA
900011937
Practice Location Phone/Fax
| Phone: | 3235881383 |
| Fax: |
Provider Mailing Location
10308 CHANEY AVE
DOWNEY
CA
902412824
Provider Mailing Phone/Fax
| Phone: | 5625953497 |
| Fax: |