Individual
JAIMI MELVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2336
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2021-0124
NM
363A00000X
Physician Assistant
PA61489173
WA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/19/2021
Last updated
07/16/2024
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