Individual
MELANIE JOLENE BAHNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3101 W MCDOWELL RD, PHOENIX, AZ 85009-2419
(602) 442-2900
Mailing address
2257 W PEGGY DR, QUEEN CREEK, AZ 85242
(480) 275-2306
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
TLP043152
AZ
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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