Individual
MELBA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 BLACK COAL ROAD, FORT WASHAKIE,, WY 82514
(307) 332-7672
(307) 335-7514
Mailing address
29 BLACK COAL DRIVE, FORT WASHAKIE,, WY 82514
(307) 332-7672
(307) 335-7514
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT13831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215611
ARRT
FL
Enumeration date
03/12/2015
Last updated
03/24/2015
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