Individual
MELISSA ANN KLAKULAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
215 W MCLELLAN RD, MESA, AZ 85201-2212
(928) 287-0793
Mailing address
215 W MCLELLAN RD, MESA, AZ 85201-2212
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
297095
AZ
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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