Individual
MELINDA BURNETT
Active
Individual
MELINDA BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
84179
—
363AS0400X
Surgical Physician Assistant
Primary
84179
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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