Individual
DR. MELISSA ANDROSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1500 NORTHWEST BLVD # I, COEUR D ALENE, ID 83814-2479
(208) 610-3779
Mailing address
1500 NORTHWEST BLVD STE 206, COEUR D ALENE, ID 83814-2413
(208) 610-3779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1990
ID
Other
Enumeration date
04/17/2020
Last updated
12/04/2023
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