Individual
MARION MARIE MELLOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 MAPLE HOLLOW RD, DUNCANSVILLE, PA 16635-7920
(814) 693-2273
(814) 693-1191
Mailing address
208 RAIBLE DR, DUNCANSVILLE, PA 16635-6915
(814) 932-7847
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN517401L
PA
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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