Individual
MS. MELANIE RAE MARS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAOTRL
Contact information
Practice address
1405 WILMINGTON AVE, NEW CASTLE, PA 16105-2526
(724) 656-2930
Mailing address
1405 WILMINGTON AVE, NEW CASTLE, PA 16105-2526
(724) 656-2930
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18927530004
—
PA
Enumeration date
06/01/2007
Last updated
07/08/2007
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