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Organization
MELSTROM FAMILY FUNCTIONAL WELLNESS
Active
Organization
MELSTROM FAMILY FUNCTIONAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYNE MELSTROM (MEMBER)
(928) 303-2508
Entity
Organization
Contact information
Practice address
2247 S BENTON, MESA, AZ 85209-1583
(928) 303-2508
Mailing address
2247 S BENTON, MESA, AZ 85209-1583
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
NULL
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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