Individual
DENISE MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
272 E SAGEBRUSH ST, LITCHFIELD PARK, AZ 85340-4934
(623) 535-6100
Mailing address
220 S OLD LITCHFIELD RD APT 211, LITCHFIELD PARK, AZ 85340-4707
(602) 581-9091
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
194764
AZ
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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