Individual
MELISSA BAILEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CIVIC CENTER BLVD, WEST PAVILION 1ST FL, PHILADELPHIA, PA 19104-5127
(215) 662-3102
Mailing address
3400 CIVIC CENTER BLVD, WEST PAVILION 1ST FL, PHILADELPHIA, PA 19104-5127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN583670
PA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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