Individual
MELISSA CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14651 NW 27TH AVE, CITRA, FL 32113-3519
(352) 857-7433
Mailing address
14651 NW 27TH AVE, CITRA, FL 32113-3519
(352) 857-7433
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376K00000X
Nurse's Aide
CNA181374
FL
Other
Enumeration date
01/29/2013
Last updated
02/09/2023
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