Individual
MELINDA NICOLE CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MOHEGAN AVE, NEW LONDON, CT 06320-8100
(860) 444-8290
Mailing address
15 MOHEGAN AVE, NEW LONDON, CT 06320-8100
(860) 444-8290
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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