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Individual
MRS. MELINDA CHACON
Active
Individual
MRS. MELINDA CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
201701496RN
OR
363LN0000X
Neonatal Nurse Practitioner
Primary
10003691
OR
Other
Enumeration date
12/08/2022
Last updated
02/06/2024
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