| NPI | 1235905530 |
|---|---|
| Former Name | MELINDA RAYGOZA POTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95356034) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2025-10-10 |