Individual
MS. MELANIE MARIE GRAYBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
956 TIMBER VALLEY WAY, APT 114, VIRGINIA BEACH, VA 23464-5456
(619) 876-2767
Mailing address
956 TIMBER VALLEY WAY, APT 114, VIRGINIA BEACH, VA 23464-5456
(619) 876-2767
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
011585385
SC
Other
Enumeration date
01/29/2012
Last updated
10/10/2012
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