Individual
MELISSA P GASPAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 MIDLAND BLVD, ROYAL OAK, MI 48073-2810
(248) 977-6724
Mailing address
1204 MIDLAND BLVD, ROYAL OAK, MI 48073-2810
(248) 977-6724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95248419
CA
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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