Individual
MELISSA MORA-ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 SCIOTO ST, MARION, OH 43302-3518
(937) 510-7097
Mailing address
145 SCIOTO ST, MARION, OH 43302-3518
(937) 510-7097
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402115201018
OH
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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