Individual
MRS. MELISSA CHRISTINE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
1760 MCCULLOCH BLVD N STE 100, LAKE HAVASU CITY, AZ 86403-6559
(928) 854-5368
Mailing address
1760 MCCULLOCH BLVD N STE 100, LAKE HAVASU CITY, AZ 86403-6559
(928) 854-5368
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
THAD11562
AZ
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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