Individual
MELANESE MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-6151
Mailing address
304 COVINGTON DR, CHESAPEAKE, VA 23320-3898
(757) 237-4064
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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