Individual
MISS MELISSA ANN BANFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8502 EDGEMERE, DALLAS, TX 75225
(214) 615-7045
Mailing address
P.O. BOX 405, OXFORD, MA 01540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1172023
TX
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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