Most Relevant Information
Provider Data
| NPI Number: | 1003460460 |
| Provider Name: | MELISA LAUREN ROTONDI FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95012154 |
Most Important Dates
| Enumeration Date: | 07/24/2019 |
| Last Updated: | 07/24/2019 |
Provider Practice Location
821 TEXAS AVE
LOS BANOS
CA
936353453
Practice Location Phone/Fax
| Phone: | 8666824842 |
| Fax: |
Provider Mailing Location
737 W CHILDS AVE
MERCED
CA
953416805
Provider Mailing Phone/Fax
| Phone: | 8666824842 |
| Fax: |