MELANIE BACA

PROVO, UT
NPI1700753167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: UT  12302792-3102)
Enumeration Date2025-10-21
Last Update Date2025-10-21
Business Address
MELANIE BACA
1800 NOVELL PL
PROVO, UT 84606-6171
Phone number: 801-494-9236
Mailing Address
MELANIE BACA
1800 NOVELL PL
PROVO, UT 84606-6171
Phone number: