| NPI | 1376926055 |
|---|---|
| Professional Name | JUSTIN MELLO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004326) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2016-03-22 |