Individual
MELISSA ANN QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 MILL ST E, RUSHSYLVANIA, OH 43347-9763
(937) 407-1774
Mailing address
159 MILL ST E, RUSHSYLVANIA, OH 43347-9763
(937) 407-1774
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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