Individual
NADIA MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC LAT
Contact information
Practice address
14532 S OUTER 40 RD, CHESTERFIELD, MO 63017-5705
(314) 514-3500
Mailing address
1486 SOARING EAGLE DR, O FALLON, MO 63366-5997
(636) 485-7176
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2012012185
MO
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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