Individual
PHILLIP P MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6191 ROADRUNNER LOOP NE, RIO RANCHO, NM 87144-5153
(505) 918-8991
Mailing address
6191 ROADRUNNER LOOP NE, RIO RANCHO, NM 87144-5153
(505) 918-8991
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
406108
NM
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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