Individual
MELISSA A DAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
PO BOX 744785, ATLANTA, GA 30374-4785
(202) 476-5000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN1038231
DC
363LP0200X
Pediatric Nurse Practitioner
Primary
RN1038231
DC
Other
Enumeration date
03/23/2021
Last updated
04/14/2021
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