Individual
MS. MELINDA JOY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 767-1122
Mailing address
PO BOX 25445, ALBUQUERQUE, NM 87125-0445
(505) 767-1122
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
06/22/2011
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