Individual
MRS. MELISSA RENEE SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9552 WOODEN PIER WAY, LAS VEGAS, NV 89117-0274
(702) 493-4992
Mailing address
9552 WOODEN PIER WAY, LAS VEGAS, NV 89117-0274
(702) 493-4992
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN64641
NV
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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