Individual
MELISSA HERBER HUMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 LARKSPUR CT, OZARK, MO 65721-6717
(240) 601-8358
Mailing address
140 LARKSPUR CT, OZARK, MO 65721-6717
(240) 601-8358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015027912
MO
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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