Individual
MELISSA MAY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.T.N.A
Contact information
Practice address
311 NEWGARDEN AVE APT A, SALEM, OH 44460-3040
(330) 277-1272
Mailing address
311 NEWGARDEN AVE APT A, SALEM, OH 44460-3040
(330) 277-1272
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3087092
—
OH
Enumeration date
03/25/2015
Last updated
03/25/2015
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