Individual
MELANIE LYN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
88006 5TH ST, VENETA, OR 97487-9708
(541) 654-1292
Mailing address
88006 5TH ST, VENETA, OR 97487-9708
(541) 654-1292
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201330200LPN
OR
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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