Individual
MELONIE NEILS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4805 NW 113 AVE, SUNRISE, FL 33323
(954) 637-0001
Mailing address
4805 NW 113TH AVE, SUNRISE, FL 33323-2706
(954) 637-0001
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
427704
FL
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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