Individual
MELISSA JONES BREWER LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 HWY 95 STE 10, FORT MOHAVE, AZ 86426-9111
(928) 577-2688
(928) 577-2690
Mailing address
5225 HWY 95 STE 10, FORT MOHAVE, AZ 86426-9111
(928) 577-2688
(928) 577-2690
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
231523
AZ
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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