Individual
ROMAN MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3307 CALDWELL BLVD STE 104, NAMPA, ID 83651-6403
(208) 465-4833
Mailing address
3307 CALDWELL BLVD STE 104, NAMPA, ID 83651-6403
(208) 465-4833
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A108764
OR
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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