Individual
JESSICA MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIRECTOR/OWNER
Contact information
Practice address
12904 BRENTWOOD CIR, BAXTER, MN 56425-8501
(218) 393-4855
Mailing address
12904 BRENTWOOD CIR, BAXTER, MN 56425-8501
(218) 393-4855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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