Individual
MELISSA ANN BARBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 TRINITY DR STE B1, LOS ALAMOS, NM 87544-2221
(505) 662-3163
Mailing address
3500 TRINITY DR STE B1, LOS ALAMOS, NM 87544-2221
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3009
NM
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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