Individual
MRS. MELANIE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
968 ALLENDALE RD, WEST PALM BEACH, FL 33405-1346
(561) 236-7059
Mailing address
968 ALLENDALE RD, WEST PALM BEACH, FL 33405-1346
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5155951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN5155951
LICENSE NUMBER
FL
Enumeration date
08/26/2020
Last updated
08/26/2020
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