Individual
MELISSA S PETERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM, LVN
Contact information
Practice address
556 W PERKINS ST, SAN TAN VALLEY, AZ 85143-1123
(602) 228-9235
(480) 612-0116
Mailing address
556 W PERKINS ST, SAN TAN VALLEY, AZ 85143-1123
(480) 828-7481
(480) 612-0116
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM278
AZ
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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