Individual
MS. JAMIE LAUREN MELVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
75 HIDDEN GLEN DR, SPARTA, NJ 07871-3843
(973) 222-1830
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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