Individual
KYRIAKOS MELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3894 N 294TH LN, BUCKEYE, AZ 85396-7123
(623) 255-5139
Mailing address
3894 N 294TH LN, BUCKEYE, AZ 85396-7123
(623) 255-5139
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
1566171
AZ
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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