Individual
STEPHANIE LOUISE MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
1711 RUTLAND DR APT 621, AUSTIN, TX 78758-6077
(512) 507-7486
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308301
TX
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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