Individual
MELISSA MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
149 S BAILEY HAZEN RD, RYEGATE, VT 05042
(802) 584-4679
Mailing address
406 JEFFERSON RD, WHITEFIELD, NH 03598-3125
(603) 837-2388
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
0250007641
VT
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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