Individual
MEL LLERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REV., C.HT.
Contact information
Practice address
1406 W LAKE ST STE A, MINNEAPOLIS, MN 55408-3598
(612) 430-9385
Mailing address
1406 W LAKE ST STE A, MINNEAPOLIS, MN 55408-3598
(612) 430-9385
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
AZ
Other
Enumeration date
05/19/2017
Last updated
07/21/2022
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