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Individual

MRS. MELINDA VAUGHAN SCHNACKENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RTR(CV)

Contact information

Practice address
700 TREASURE CAY DR, 208, FORT PIERCE, FL 34947-5386
(904) 806-4178
Mailing address
700 TREASURE CAY DR, 208, FORT PIERCE, FL 34947-5386
(904) 806-4178

Taxonomy

Speciality
Code
Description
License number
State
246XC2901X
Cardiovascular Invasive Specialist/Technologist
00-9371
SC
2471C1101X
Cardiovascular-Interventional Technology Radiologic Technologist
Primary
29049
FL

Other

Enumeration date
12/07/2007
Last updated
12/07/2007
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