Individual
MELISSA GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
150 SHOUP AVE, SUITE 17, IDAHO FALLS, ID 83402-3657
(208) 528-5700
(208) 528-5747
Mailing address
150 SHOUP AVE, SUITE 17, IDAHO FALLS, ID 83402-3657
(208) 528-5700
(208) 528-5747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
30077
ID
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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