Individual
MRS. MELISSA RENEE GARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5114 N GLEN PARK PLACE RD, PEORIA, IL 61614-4686
(309) 683-5600
(309) 683-5607
Mailing address
101 FAIRVIEW AVE, BARTONVILLE, IL 61607-2309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006416
IL
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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