Individual
MELANIE L WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
71 ELM ST, MILFORD, NH 03055-4810
(603) 673-2907
Mailing address
242 PLEASANT ST, ANTRIM, NH 03440-3407
(603) 731-3459
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1083
NH
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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