Individual
MELISSA A BLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L..P.N.
Contact information
Practice address
413 SPRING ST, CHATTANOOGA, TN 37405-3848
(423) 756-2740
Mailing address
1302 BLYTHE FERRY PL NE, CLEVELAND, TN 37312-5627
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
48764
TN
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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