Individual
SHERIDAN LEE MELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1800 E 42ND ST, ODESSA, TX 79762-5839
(432) 368-2210
Mailing address
PO BOX 81, ODESSA, TX 79760-0081
(432) 272-0747
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1569
TX
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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