Individual
MS. MELBA SHAREE GAILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
12740 W INDIAN SCHOOL RD, #O212, LITCHFIELD PARK, AZ 85340-6528
(301) 717-9954
Mailing address
12740 W INDIAN SCHOOL RD, #O212, LITCHFIELD PARK, AZ 85340-6528
(301) 717-9954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-17839
AZ
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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