Individual
MELISSA ANN MALMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 CLEVELAND BLVD, CALDWELL, ID 83605-3852
(208) 455-1792
Mailing address
1012 CLEVELAND BLVD, CALDWELL, ID 83605-3852
(208) 455-1792
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
P8414
ID
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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