Individual
MELINDA FLOURNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10190 BANNOCK ST, NORTHGLENN, CO 80260-6083
(773) 681-4205
Mailing address
PO BOX 5473, ENGLEWOOD, CO 80155-5410
(773) 681-4205
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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