Individual
MELISSA MEECHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A.
Contact information
Practice address
114 N BEHREND AVE, FARMINGTON, NM 87401-8414
(505) 326-2736
Mailing address
204 LA GRANGE AVE, FARMINGTON, NM 87401-3731
(505) 326-2736
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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