Individual
MELISSA DENETSOSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 S FIRST ST, GALLUP, NM 87301-6211
(505) 483-0364
Mailing address
PO BOX 704, MENTMORE, NM 87319-0704
(505) 721-8998
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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