Individual
MELISSA DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 DARE RD, YORKTOWN, VA 23692-2716
(757) 898-0478
Mailing address
302 DARE RD, YORKTOWN, VA 23692-2716
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2305202548
VA
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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