Individual
MELISSA RISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 WOODRUFF AVE APT 1, JACKSONVILLE, FL 32205-5131
(904) 560-1790
Mailing address
1130 WOODRUFF AVE APT 1, JACKSONVILLE, FL 32205-5131
(904) 560-1790
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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