Individual
MELANEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(215) 760-5351
(215) 760-5351
Mailing address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(215) 760-5351
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000639
DE
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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