Most Relevant Information
Provider Data
| NPI Number: | 1003680323 |
| Provider Name: | MELANIE CARLOS MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/07/2023 |
| Last Updated: | 11/07/2023 |
Provider Practice Location
216 W LOS ANGELES DR
VISTA
CA
920833101
Practice Location Phone/Fax
| Phone: | 7606304065 |
| Fax: |
Provider Mailing Location
216 W LOS ANGELES DR
VISTA
CA
920833101
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |