Individual
MRS. SANDRA LYNN MELQUIST-REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2066 DAMASCUS LN, PUNTA GORDA, FL 33983-8613
(716) 665-1535
Mailing address
2066 DAMASCUS LN, PUNTA GORDA, FL 33983-8613
(716) 665-1535
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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