Individual
MS. MARGARITA MELERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
571 CALDWELL BLVD TRLR 47, NAMPA, ID 83651-1772
(208) 936-6009
Mailing address
571 CALDWELL BLVD #47, NAMPA, ID 83651
(208) 936-6009
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
ID
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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