Individual
ROSE S MELLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 NORTHEAST RD, STANDISH, ME 04084-6495
(207) 642-1249
Mailing address
234 NORTHEAST RD, STANDISH, ME 04084-6495
(207) 642-1249
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
68410
NH
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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