Individual
MELISSA MAE GANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1216 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5076
(850) 878-7380
Mailing address
1216 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5076
(850) 878-7380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 58603
FL
Other
Enumeration date
07/13/2011
Last updated
08/03/2011
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