Individual
MELONIE JEANNE DEMARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1701 E HALIFAX ST, MESA, AZ 85203-3920
(419) 566-4034
Mailing address
1701 E HALIFAX ST, MESA, AZ 85203-3920
(419) 566-4034
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP042342
AZ
164W00000X
Licensed Practical Nurse
LP122123
OH
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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