Individual
MRS. MIRIAM REBECCA MELTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3007 W KENT DR, CARBONDALE, IL 62901-1920
(618) 457-7788
(618) 457-7788
Mailing address
3007 W KENT DR, CARBONDALE, IL 62901-1920
(618) 457-7788
(618) 457-7788
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/13/2005
Last updated
02/16/2008
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