Individual
MELISSA RAYE WHIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
575 RIVERGATE, DURANGO, CO 81301-7487
(505) 486-9775
Mailing address
PO BOX 781, FLORA VISTA, NM 87415-0781
(505) 486-9775
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
197974
—
Other
Enumeration date
08/25/2020
Last updated
11/27/2023
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