Mello, Shasta

Mello, Shasta is an individual health care provider with primary practice located at 474 W 200 N , St George UT 84770-4505. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Mello, Shasta can be contacted via phone (435) 634-5600.

Contact Information

Primary practice address
474 W 200 N St George UT 84770-4505
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1255975074
LBN Legal business name Mello, Shasta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2019
Last updated Nov 5th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers