Individual
MELISSA WILDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 RASPBERRY HILL RD, LAS VEGAS, NV 89142-0607
(702) 704-3743
Mailing address
1651 RASPBERRY HILL RD, LAS VEGAS, NV 89142-0607
(702) 704-3743
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
01/10/2014
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