Individual
MS. MELODIE NICOLE CLAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 JASPER AVE., NOTUS, ID 83656-0075
(208) 779-8089
Mailing address
PO BOX 75, NOTUS, ID 83656-0075
(208) 779-8089
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTA-1550
ID
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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