Individual
MS. ANGELA DAWN MELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
24096 COUNTY HWY Z, RICHLAND CENTER, WI 53581-5912
(608) 383-3048
Mailing address
1900 E NEBRASKA ST TRLR 25, MUSCODA, WI 53573-8920
(608) 739-2301
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34772-031
WI
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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