Individual
MELISSA JO MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(610) 834-1122
Mailing address
509 W 6TH ST, ANDERSON, IN 46016-1150
(765) 749-1517
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27040420A
IN
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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