Individual
MELINDAMOON TRUEBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
337 E 17TH ST, NEW YORK, NY 10003-3804
(646) 634-1552
Mailing address
337 E 17TH ST, NEW YORK, NY 10003-3804
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
674754
NY
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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