Individual
MELISSA MARIE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 CHURCH ST, WILKES BARRE, PA 18765-0999
(570) 808-8922
Mailing address
14 W ENTERPRISE ST, GLEN LYON, PA 18617-1113
(570) 574-8479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
606122
PA
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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