Individual
MELISSA JANE LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8111
Mailing address
2787 RIDGEWAY DR, REEDSPORT, OR 97467-1881
(541) 662-0098
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200330046LPN
OR
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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