Individual
MELISSA S WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7930 NITTANY VALLEY DR, MILL HALL, PA 17751-8805
(570) 323-6944
(570) 323-4529
Mailing address
320 HIGHLAND DR, PO BOX 597, MOUNTVILLE, PA 17554-1232
(717) 285-7121
(717) 285-0616
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN299813
PA
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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