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Individual

MRS. MELANIE MARIE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5055 E CHARLESTON BLVD APT C116, LAS VEGAS, NV 89104-6476
(702) 201-8759
Mailing address
5055 E CHARLESTON BLVD APT C116, LAS VEGAS, NV 89104-6476
(702) 201-8759

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
372500000X
Chore Provider
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
05
NA
NV
Enumeration date
05/28/2020
Last updated
05/28/2020
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