Individual
MELINDA RENEE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6433 TIDE WATER DR, FLORISSANT, MO 63033-4938
(314) 368-4302
Mailing address
6433 TIDE WATER DR, FLORISSANT, MO 63033-4938
(314) 368-4302
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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