Individual
MS. MELANIE P MIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 PINNACLE PKWY STE 7, SUITE 230, COVINGTON, LA 70433-9169
(985) 643-4144
Mailing address
PO BOX 7725, METAIRIE, LA 70010-7725
(504) 887-7207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.A10541
LA
Other
Enumeration date
06/02/2008
Last updated
02/22/2017
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