Individual
MRS. MELANEE ROSE MOONEYHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8433 S RIVER DR, PALMER, AK 99645-8235
(907) 691-5097
Mailing address
1975 W CHURCH RIDGE DR, WASILLA, AK 99654-2102
(907) 414-9554
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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