Individual
MELANIE MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
721 PROMENADE TRL SW, LOS LUNAS, NM 87031-4882
(505) 414-0199
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 627-7000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L16905
NM
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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