Individual
MELISSA NICOLE CLEAVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6035 W TRANSIT ST, FAYETTEVILLE, AR 72704-5097
(417) 434-5898
Mailing address
1722 RIDGEWOOD CIR, NEOSHO, MO 64850-1394
(417) 434-5898
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
2005022626
MO
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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