Individual
JENEAN MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 GRAND AVE APT 412, BRONX, NY 10453-5523
(646) 225-1741
Mailing address
1740 GRAND AVE APT 412, BRONX, NY 10453-5523
(646) 225-1741
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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