Individual
MELISSA KIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 LAKE DUNMORE RD, LEICESTER, VT 05733-9276
(802) 989-4878
Mailing address
110 LAKE DUNMORE RD, LEICESTER, VT 05733-9276
(802) 989-4878
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
431026-00
VT
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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