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Individual
MELANIE SUE VALVO
Active
Individual
MELANIE SUE VALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1334
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0692PA
—
SC
01
—
GP1551
MEDICAID GROUP
SC
01
—
P00914048
RR MEDICARE
SC
Enumeration date
09/10/2008
Last updated
06/30/2020
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