Individual
MARIA CRISTINA MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 LAKE PLAZA DR STE 230, COLORADO SPRINGS, CO 80906-3595
(719) 219-3819
(719) 219-0411
Mailing address
1130 LAKE PLAZA DR STE 230, COLORADO SPRINGS, CO 80906-3595
(719) 219-3819
(719) 219-0411
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2763
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2763
STATE LICENSE NUMBER
CO
05
—
96938374
—
CO
Enumeration date
11/17/2009
Last updated
03/30/2010
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