Individual
MELISSA LYNN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 RYAN CT, SPRINGFIELD, OH 45503-6674
(937) 244-7221
Mailing address
1303 RYAN CT, SPRINGFIELD, OH 45503-6674
(937) 244-7221
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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