Individual
MS. GAIL DENISE MELPOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMS, CLVT, CRC
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00016215 CRCC
—
174400000X
Specialist
Primary
4815 - ACVREP
—
174400000X
Specialist
5622 ACVREP
—
Other
Enumeration date
02/07/2010
Last updated
02/07/2010
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