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Individual

MRS. MELISSA ANN MELNARIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1309 RIVER RD, KEWAUNEE, WI 54216-9485
(920) 255-1889
(920) 388-2053
Mailing address
1309 RIVER ROAD, KEWAUNEE, WI 54216-9485
(920) 255-1889

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310347-031
WI

Other

Enumeration date
08/04/2010
Last updated
08/04/2010
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