Individual
MELINDA LEA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
104 W LAFAYETTE ST, VERSAILLES, MO 65084-1346
(573) 378-5438
(573) 378-7375
Mailing address
19901 INLET RD, VERSAILLES, MO 65084-5105
(573) 378-9775
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2011007311
MO
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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