Individual
MRS. WENDY YESENIA MELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 TUSCAN DR, FUQUAY VARINA, NC 27526-5376
(919) 285-4182
Mailing address
1421 TUSCAN DR, FUQUAY VARINA, NC 27526-5376
(919) 285-4182
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767626300
—
FL
05
—
811928700
—
FL
Enumeration date
09/12/2006
Last updated
05/01/2009
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