Individual
LISSETTE MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 E FAIRBAIRN DR, DELTONA, FL 32725-7116
(787) 908-6790
Mailing address
802 E FAIRBAIRN DR, DELTONA, FL 32725-7116
(787) 908-6790
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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