Individual
MELISSA TAVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 RAINTREE LN, MAHWAH, NJ 07430-2060
(845) 825-1853
Mailing address
130 RAINTREE LN, MAHWAH, NJ 07430-2060
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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