Individual
MS. MELISSA MICHELLE DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4300 MACARTHUR AVE STE 160, DALLAS, TX 75209-6544
(214) 740-2481
Mailing address
888 KEENELAND CT, DALLAS, TX 75211-6985
(469) 363-6197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1004009
TX
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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