Individual
MRS. MELISSA SUE HOWDYSHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, PHDH
Contact information
Practice address
252 E WASHINGTON ST, EAST PEORIA, IL 61611-2561
(309) 241-7170
Mailing address
1931 CALIFORNIA RD, PEKIN, IL 61554-9730
(309) 241-7170
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.011481
IL
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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