Individual
MELENA SANDIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
215 S VINE AVE, TYLER, TX 75702-7143
(903) 316-8337
(903) 280-7686
Mailing address
PO BOX 351, VAN, TX 75790-0351
(903) 316-8337
(903) 280-7686
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99218
TX
Other
Enumeration date
09/29/2014
Last updated
05/02/2017
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