Individual
MELISSA ANN MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CCM
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 649-1593
Mailing address
PO BOX 749, CHILLICOTHE, OH 45601-0749
(740) 649-1593
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
336656
OH
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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