Individual
JACQUELINE MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 764-6935
Mailing address
77 NEALY AVE, HAMPTON, VA 23665-2040
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.43542
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
06/25/2025
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