Individual
MELODY SELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 HOLLER AVE., CODY, WY 82414
(307) 272-7755
(307) 527-7270
Mailing address
2601 HOLLER AVE., CODY, WY 82414
(307) 272-7755
(307) 527-7270
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600012800
—
WY
05
—
0600397906
—
WI
01
—
124649
TRADING PARTNER NUMBER
WY
Enumeration date
05/03/2007
Last updated
07/09/2007
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