Individual
MS. DANA MICHELLE MELIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5000 10TH AVE, LEAVENWORTH, KS 66048-5514
(913) 250-0918
Mailing address
19823 74TH ST, MC LOUTH, KS 66054-4234
(913) 796-6787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-12724
KS
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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