Individual
HEATHER DIANE MELANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 STONEY RIDGE CT APT 8, MARBLE FALLS, TX 78654-4622
(661) 433-5758
Mailing address
1600 STONEY RIDGE CT APT 8, MARBLE FALLS, TX 78654-4622
(661) 433-5758
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000014932
NE
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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