Individual
MRS. MELYNDA GESSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 N 3737 E, RIGBY, ID 83442-5738
(208) 346-3612
Mailing address
12 N 3737 E, RIGBY, ID 83442-5738
(208) 346-3612
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
23854
ID
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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