Individual
MELODIE NANNENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5110S POWER RD, MESA, AZ 85212-4201
(480) 281-0271
Mailing address
12036E VIA DE PALMAS, CHANDLER, AZ 85249-3405
(612) 382-1979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1520
AZ
Other
Enumeration date
07/09/2006
Last updated
08/17/2015
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