Individual
MRS. SANDRA POWELL MELCHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
8518 SHOOTING QUAIL, SAN ANTONIO, TX 78250-4613
(850) 459-5482
Mailing address
8518 SHOOTING QUAIL, SAN ANTONIO, TX 78250-4613
(850) 459-5482
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PF1208
TX
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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