Individual
MRS. MELODY SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6280 RANDALL RD, JAMESVILLE, NY 13078-8731
(315) 445-8258
Mailing address
6280 RANDALL RD, JAMESVILLE, NY 13078-8731
(315) 445-8258
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
554123
NY
Other
Enumeration date
10/03/2019
Last updated
01/07/2020
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