Individual
MELISS LUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 9TH AVE, COUNCIL BLUFFS, IA 51501-5880
(712) 325-1331
Mailing address
4907 CALIFORNIA ST APT 5, OMAHA, NE 68132-2448
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
096506
IA
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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