Individual
MELYNDA RODRIGUEZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1311 M ST, BEDFORD, IN 47421-3234
(812) 675-7925
(812) 675-7925
Mailing address
1311 M ST, BEDFORD, IN 47421-3234
(812) 675-7925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004079A
IN
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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