Individual
MELISSA L BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
8260 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 764-7445
Mailing address
8165 MARLEY DR, MECHANICSVILLE, VA 23116-4161
(804) 624-8352
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000258
VA
Other
Enumeration date
02/16/2011
Last updated
02/28/2023
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