Individual
MELISSA MIELNIKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 MARIPOSA WAY, HENDERSON, NV 89015
(908) 205-3007
Mailing address
250 MARIPOSA WAY, HENDERSON, NV 89015
(908) 205-3007
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1703916513
NV
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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