Individual
MELISSA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 W CHARLESTON BLVD, SUITE 170, LAS VEGAS, NV 89102-1628
(702) 453-4673
(702) 453-2673
Mailing address
3900 W CHARLESTON BLVD, SUITE 170, LAS VEGAS, NV 89102-1628
(702) 453-4673
(702) 453-2673
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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