Individual
ANNAMARIA MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 788-1702
Mailing address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DOL.OL.61432750
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OL61432750
WA
Other
Enumeration date
04/10/2023
Last updated
11/10/2023
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