Individual
COURTNEY MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 MONUMENT WALK, APT. 4D, BROOKLYN, NY 11205-1760
(856) 266-2015
Mailing address
55 MONUMENT WALK, APT. 4D, BROOKLYN, NY 11205-1760
(856) 266-2015
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317124
NY
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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