Individual
MELANIE NOVOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 CALLE ANTONIO, ESQ PALMA BO PUEBLO, PENUELAS, PR 00624
(939) 248-2152
Mailing address
1880 BLVD LUIS A FERRE, SUITE 4 BUZON 155, PONCE, PR 00715
(939) 248-2152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004409
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004409
LICENCIA PROFESIONAL
PR
Enumeration date
12/23/2024
Last updated
12/23/2024
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